| Peter J Bruno, Md Pc | |
|
110 E 59th St Suite 9a New York NY 10022-1304 | |
| (212) 583-2898 | |
| (212) 644-2111 |
| Full Name | Peter J Bruno, Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 110 E 59th St, New York, New York |
| Authorized Official Name and Position | Peter J Bruno (PRESIDENT) |
| Authorized Official Contact | 2125832898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter J Bruno, Md Pc 110 E 59th St Suite 9a New York NY 10022-1304 Ph: (212) 583-2898 | Peter J Bruno, Md Pc 110 E 59th St Suite 9a New York NY 10022-1304 Ph: (212) 583-2898 |
| NPI Number | 1164452983 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3870779473 |
|---|---|
| Medicare Enrollment ID | O20110517000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164452983 | NPI | - | NPPES |
| 00370296 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 127274 (New York) | Primary |
| Provider Name | Peter J Bruno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912952185 PECOS PAC ID: 7911928494 Enrollment ID: I20051212000803 |
| Provider Name | Villicent J Uy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134497902 PECOS PAC ID: 8123364726 Enrollment ID: I20190117002147 |
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