Sanderov, Bruce
Sanderov, Bruce is an individual health care provider with primary practice located at 519 W Jericho Tpke , Smithtown NY 11787-2619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Sanderov, Bruce can be contacted via phone (631) 360-5900.Contact Information
Primary practice address
519 W Jericho Tpke
Smithtown NY 11787-2619
Phone: (631) 360-5900
Fax: (631) 360-9403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 152464-1 | New York |
Profile Details
| NPI number | 1346254471 |
|---|---|
| LBN Legal business name | Sanderov, Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Aug 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346254471 | NPPES |
| New York | MEDICAID | 1115475 |
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