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Individual

BRUCE W ELMENDORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
55 RAMBLE HILL LANE, MILLBROOK, NY 12545
(845) 677-9500
Mailing address
55 RAMBLE HILL LANE, MILLBROOK, NY 12545
(845) 677-9500

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
522232-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
522232-1
NY
Enumeration date
07/02/2008
Last updated
07/02/2008
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