Individual provider · Type 1 NPI

Lisa Bruefach, RPA-C

Medical Physician Assistant · Roslyn, NY

NPI number 1245458223 Active

Practice location

100 Port Washington Blvd
Roslyn, NY 11576-1353

Fax (516) 562-6614

Mailing address

221 Harbor Hill Rd
Roslyn, NY 11576-2209

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X005205 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1245458223

Lisa Bruefach, RPA-C's National Provider Identifier is 1245458223, issued on Apr 23, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Roslyn, NY. The record was last updated on Jul 8, 2007.