Individual
CHRISTINE BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
33 BLACKPINE DRIVE, MEDFORD, NY 11763-4130
(631) 730-2826
Mailing address
33 BLACKPINE DR, MEDFORD, NY 11763-4130
(631) 730-2826
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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