ADAM R BRUCCOLERI

STATEN ISLAND, NY
NPI1629381124
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  014091)
Enumeration Date2010-07-26
Last Update Date2010-12-01
Business Address
-- ADAM R BRUCCOLERI P.A.
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9158
Mailing Address
-- ADAM R BRUCCOLERI P.A.
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9158
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