Bruma, Larisa M
Bruma, Larisa M is an individual health care provider with primary practice located at 1207 Route 9 Suite 11, Wappingers Falls NY 12590. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Bruma, Larisa M can be contacted via phone (845) 297-3200.Contact Information
Primary practice address
1207 Route 9 Suite 11
Wappingers Falls NY 12590
Phone: (845) 297-3200
Fax: (845) 297-7891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 46131 | Wisconsin |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | LB082656 | Michigan |
Profile Details
| NPI number | 1720019771 |
|---|---|
| LBN Legal business name | Bruma, Larisa M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Jul 9th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720019771 | NPPES |
| Michigan | Other | 700E310160 | BCBS |
| Michigan | MEDICAID | 1720019771 | BCBS |
| Michigan | Other | 0N85680 | BCBS |
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