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Individual

BRUCE W BREWER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
999 FRANKLIN AVE, GARDEN CITY, NY 11530-2913
(516) 742-3404
(516) 294-6942
Mailing address
999 FRANKLIN AVE, GARDEN CITY, NY 11530-2913
(516) 742-3404
(516) 294-6942

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
133020
NY

Other

Enumeration date
03/17/2006
Last updated
07/08/2007
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