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Individual

DR. BRUCE BROVENDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1559 YORK AVE, NEW YORK, NY 10028-6001
(212) 585-3329
(212) 585-3717
Mailing address
1559 YORK AVENUE, NEW YORK, NY 10028-6001
(212) 585-3329
(212) 585-3717

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
170532
NY

Other

Enumeration date
03/16/2006
Last updated
12/18/2008
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