Organization
THREE VILLAGE NEUROPHYSIOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BRUNO M.D. (PRESIDENT)
(631) 521-4137
Entity
Organization
Contact information
Practice address
5 ALILAH CT, MILLER PLACE, NY 11764-1902
(631) 521-4137
Mailing address
5 ALILAH CT, MILLER PLACE, NY 11764-1902
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
234763
NY
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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