Individual
MR. STEVEN JOHN BRUSSICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
5901 RIVERDALE AVE, BRONX, NY 10471-1602
(718) 543-3336
(718) 543-6463
Mailing address
5901 RIVERDALE AVE, BRONX, NY 10471-1602
(718) 543-3336
(718) 543-6463
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
006368-1
NY
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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