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1417124264
RICHARD L BRUCKNER
STONY BROOK, NY
NPI
1417124264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2080P0204X Pediatrics, Pediatric Emergency Medicine
(Licence: NY 240468)
Enumeration Date
2008-05-12
Last Update Date
2015-04-26
Business Address
Dr. RICHARD L BRUCKNER M.D.
100 NICOLLS RD LEVEL 4
STONY BROOK, NY 11794-8111
Phone number: 631-444-2499
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Mailing Address
Dr. RICHARD L BRUCKNER M.D.
PO BOX 1559 PEDIATRIC EMERGENCY MEDICINE
STONY BROOK, NY 11790-0989
Phone number: 631-444-0650
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