Organization
BRUVILDO-INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUNY VILDORIN (OWNERR)
(917) 650-1605
Entity
Organization
Contact information
Practice address
65 W MERRICK RD, VALLEY STREAM, NY 11580-5709
(516) 812-5120
Mailing address
65 W MERRICK RD, VALLEY STREAM, NY 11580-5709
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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