Garrison, Bruce A
Garrison, Bruce A is an individual health care provider with primary practice located at 7108 Park Ave , Fresh Meadows NY 11365. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Garrison, Bruce A can be contacted via phone (718) 820-0120.Contact Information
Primary practice address
7108 Park Ave
Fresh Meadows NY 11365
Phone: (718) 820-0120
Fax: (718) 820-9239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 166451 | New York |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 166451 | New York |
Profile Details
| NPI number | 1619068079 |
|---|---|
| LBN Legal business name | Garrison, Bruce A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1619068079 | NPPES |
| Other | 25246 | US HEALTHCARE | |
| Other | DP133 | US HEALTHCARE | |
| Other | 0044176 | US HEALTHCARE | |
| Other | 0457702 | US HEALTHCARE | |
| Other | 160007 | US HEALTHCARE | |
| Other | 205379P | US HEALTHCARE | |
| Other | 166451C48 | US HEALTHCARE | |
| Other | 4C0575 | US HEALTHCARE | |
| MEDICAID | 01121508 | US HEALTHCARE | |
| Other | 23E341 | US HEALTHCARE |
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