Individual provider · Type 1 NPI

Richard L. Bruckner, MD

Pediatric Emergency Medicine (Pediatrics) Physician · Stony Brook, NY

NPI number 1417124264 Active

Practice location

100 Nicolls Rd, Level 4
Stony Brook, NY 11794-8111

Call (631) 444-2499 Map

Mailing address

PO Box 1559, Pediatric Emergency Medicine
Stony Brook, NY 11790-0989

Specialties and licenses

TaxonomyCodeLicense
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204X240468 (NY)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1417124264

Richard L. Bruckner, MD's National Provider Identifier is 1417124264, issued on May 12, 2008. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Stony Brook, NY. The record was last updated on Apr 26, 2015.