Individual
ANNEMARIE BRUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 MONROE ST, LYNBROOK, NY 11563-2716
(516) 812-6633
Mailing address
77 MONROE ST, LYNBROOK, NY 11563-2716
(516) 812-6633
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1754987
NY
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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