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1003359266
BRUCE W MARTIN
GLEN COVE, NY
NPI
1003359266
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 341243)
Enumeration Date
2016-11-21
Last Update Date
2016-11-21
Business Address
-- BRUCE W MARTIN FNP
101 SAINT ANDREWS LN
GLEN COVE, NY 11542-2254
Phone number: 516-674-7461
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Mailing Address
-- BRUCE W MARTIN FNP
101 SAINT ANDREWS LN
GLEN COVE, NY 11542-2254
Phone number: 516-674-7461
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