Nyfield, Bruce

Nyfield, Bruce is an individual health care provider with primary practice located at 627 Broadway Suite 201, Massapequa NY 11258. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Nyfield, Bruce can be contacted via phone (631) 751-1166.

Contact Information

Primary practice address
627 Broadway Suite 201 Massapequa NY 11258
Phone: (631) 751-1166
Fax: (631) 751-0889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 013459 New York

Profile Details

NPI number 1134259716
LBN Legal business name Nyfield, Bruce
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 18 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 1134259716 NPPES
New York MEDICAID 01852116

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