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Individual

BRUCE GEORGE PARENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.F.A. , M.A.

Contact information

Practice address
103 ST. MARKS PLACE, NEW YORK, NY 10009
(212) 614-9600
Mailing address
79 BARROW STREET, NEW YORK, NY 10014-5734
(212) 989-2357

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0006731
NY

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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