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Individual

MR. HOWARD WARREN BRUCKNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1500 ASTOR AVE FL 2B, BRONX, NY 10469
(718) 941-6000
(718) 941-6071
Mailing address
1500 ASTOR AVE FL 2B, BRONX, NY 10469
(718) 941-6000
(718) 941-6071

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
106681
NY
207R00000X
Internal Medicine Physician
106681
NY
207RH0003X
Hematology & Oncology Physician
Primary
106681
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00187302
NY
01
083520
GHI HMO
NY
01
1013AR1
BLUE CROSS BLUE SHIELD
NY
01
167805
ELDERPLAN
NY
01
2171382
US HEALTHCARE
NY
01
2590950
GHI PPO
NY
01
P1730535
OXFORD
NY
Enumeration date
08/15/2006
Last updated
05/30/2025
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