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DR. BRUCE DORMAN D.P.M. NPI 1720261274


NPI Information

NPI: 1720261274
Provider Name: DR. BRUCE DORMAN, D.P.M.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
6134 188TH ST
SUITE 203
FRESH MEADOWS, NY
ZIP 11365
Phone: (718) 454-4333
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DR. BRUCE DORMAN, D.P.M. is a durable medical equipment medical supplies in Fresh Meadows, NY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. DR. BRUCE DORMAN, D.P.M. NPI is 1720261274. The provider is registered as an organization entity type.

The provider's business location address is:

6134 188TH ST
SUITE 203
FRESH MEADOWS, NY
ZIP 11365-726
Phone: (718) 454-4333
Fax: (718) 454-4823

The provider's authorized official is Bruce A Dorman .
The authorized official title is Owner and has the following contact phone number (718) 454-4333.

The enumeration date for this NPI number is 12/6/2007 and was last updated on 1/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNY003551NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14224860001MEDICARE NSCNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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