Bruma, Larisa M

Bruma, Larisa M is an individual health care provider with primary practice located at 1207 Route 9 Suite 11, Wappingers Falls NY 12590. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Bruma, Larisa M can be contacted via phone (845) 297-3200.

Contact Information

Primary practice address
1207 Route 9 Suite 11 Wappingers Falls NY 12590
Phone: (845) 297-3200
Fax: (845) 297-7891
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 46131 Wisconsin
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X LB082656 Michigan

Profile Details

NPI number 1720019771
LBN Legal business name Bruma, Larisa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jul 9th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720019771 NPPES
Michigan Other 700E310160 BCBS
Michigan MEDICAID 1720019771 BCBS
Michigan Other 0N85680 BCBS

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