Dorman, Bruce Alan

Dorman, Bruce Alan is an sole proprietor health care provider with primary practice located at 6134 188Th St Suite 203, Fresh Meadows NY 11365-2726. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Dorman, Bruce Alan can be contacted via phone (718) 454-4333.

Contact Information

Primary practice address
6134 188Th St Suite 203 Fresh Meadows NY 11365-2726
Phone: (718) 454-4333
Fax: (718) 454-4823
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X NY003551 New York
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1495 Florida

Profile Details

NPI number 1457353856
LBN Legal business name Dorman, Bruce Alan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2005
Last updated Sep 30th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457353856 NPPES
New York Other 0025415 GHI
New York MEDICAID 00818933 GHI
New York Other P38382 GHI
New York Other P559929 GHI

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