Bruckner, Dara

Bruckner, Dara is an individual health care provider with primary practice located at 17 Brokaw Lane , Great Neck NY 11023. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bruckner, Dara can be contacted via phone (516) 551-8827.

Contact Information

Primary practice address
17 Brokaw Lane Great Neck NY 11023
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 013953 New York

Profile Details

NPI number 1568780179
LBN Legal business name Bruckner, Dara
Credentials RPAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2010
Last updated May 6th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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