Bruckstein, Alex Harry
Bruckstein, Alex Harry is an sole proprietor health care provider with primary practice located at 2627 Hylan Blvd , Staten Island NY 10306-4339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bruckstein, Alex Harry can be contacted via phone (718) 667-3200.Contact Information
Primary practice address
2627 Hylan Blvd
Staten Island NY 10306-4339
Phone: (718) 667-3200
Fax: (718) 667-6615
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | NY129764 | New York |
Profile Details
| NPI number | 1114971835 |
|---|---|
| LBN Legal business name | Bruckstein, Alex Harry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | May 5th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114971835 | NPPES |
| New York | Other | 325101 | MEDICARE PTAN |
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