Individual provider · Type 1 NPI

Edward Brucia

Medical Physician Assistant · Massapequa, NY

NPI number 1649407495 Active

Practice location

660 Broadway
Massapequa, NY 11758-2391

Fax (516) 798-0152

Mailing address

1728 Sunrise Hwy
Merrick, NY 11566-3745

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1649407495

Edward Brucia's National Provider Identifier is 1649407495, issued on Jun 19, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Massapequa, NY. The record was last updated on Aug 24, 2011.