Richard L Bruckner in Stony Brook - Pediatric Emergency Medicine
Richard L Bruckner - NPI 1417124264
Richard L Bruckner is a Pediatric Emergency Medicine in Stony Brook, New York. Richard L Bruckner practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Richard L Bruckner is 1417124264. The last update date is 2015-04-26.
Richard L Bruckner's current location address is 100 Nicolls Rd, Stony Brook, New York. You can contact this provider via phone number 6314442499. The mailing address for Richard L Bruckner is 100 Nicolls Rd, Stony Brook, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard L Bruckner |
|---|---|
| Address | 100 Nicolls Rd, Stony Brook, New York |
| Phone Number | 6314442499 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417124264 |
|---|---|
| Provider Enumeration Date | 2008-05-12 |
| Last Updated Date | 2015-04-26 |
Provider Mailing Address Detail
| Address | 100 Nicolls Rd |
|---|---|
| City | Stony Brook |
| State | New York (NY) |
| Post Code | 117948111 |
| Phone Number | 6314442499 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Emergency Medicine |
|---|---|
| Taxonomy | 2080P0204X |
| Licence No | 240468 |
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Definition: A pediatrician who has special qualifications to manage emergencies in infants and children. |
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Post Comment/ Review Below
What is the unique identifier code issued to Richard L Bruckner by the Centers for Medicare & Medicaid Services?
The Richard L Bruckner has been assigned the NPI (National Provider Identifier) 1417124264. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Richard L Bruckner's physical address?
The Richard L Bruckner is physically located at 100 Nicolls Rd, in the city of Stony Brook, NY, with the postal code 117948111.
What is Richard L Bruckner'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 Richard L Bruckner is Pediatric Emergency Medicine, and the taxonomy classification code that categorizes this area of expertise is 2080P0204X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417124264 to Richard L Bruckner?
The Centers for Medicare & Medicaid Services originally issued the 1417124264 to Richard L Bruckner on 2008-05-12.
As of what date was the information pertaining to Richard L Bruckner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Richard L Bruckner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-04-26.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN