Bruce William Surace in Middle Island - Chiropractor
Bruce William Surace - NPI 1407843444
Bruce William Surace is a Chiropractor in Middle Island, New York. Bruce William Surace practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Bruce William Surace is 1407843444. The last update date is 2011-12-06.
Bruce William Surace's current location address is 59 Middle Country Rd, Middle Island, New York. You can contact this provider via phone number 6317321615 and fax number 6317321612. The mailing address for Bruce William Surace is 59 Middle Country Rd, Middle Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce William Surace |
|---|---|
| Address | 59 Middle Country Rd, Middle Island, New York |
| Phone Number | 6317321615 |
| Fax Number | 6317321612 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1407843444 |
|---|---|
| Provider Enumeration Date | 2005-10-04 |
| Last Updated Date | 2011-12-06 |
Provider Mailing Address Detail
| Address | 59 Middle Country Rd |
|---|---|
| City | Middle Island |
| State | New York (NY) |
| Post Code | 119532502 |
| Phone Number | 6317321615 |
| Fax Number | 6317321612 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | X005240 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C052409 | NY | W COMP |
Post Comment/ Review Below
What is the unique provider identifier assigned to Bruce William Surace?
The Bruce William Surace has been issued the NPI (National Provider Identifier) 1407843444 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Bruce William Surace's facilities are situated?
The facilities of Bruce William Surace are physically located at the following address: 59 Middle Country Rd, Middle Island, NY, 119532502.
What is Bruce William Surace's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bruce William Surace is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Bruce William Surace receive the assignment of its 1407843444 from the Centers for Medicare & Medicaid Services?
The Bruce William Surace was issued its 1407843444 by the Centers for Medicare & Medicaid Services on 2005-10-04.
As of what date was the information regarding Bruce William Surace, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bruce William Surace, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-12-06.
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