Healthcare Provider Details

I. General information

NPI: 1902829138
Provider Name (Legal Business Name): BRUCE T VOLPE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

785 MAMARONECK AVE
WHITE PLAINS NY
10605-2523
US

IV. Provider business mailing address

1 SIGMA PL
BRONX NY
10471-1215
US

V. Phone/Fax

Practice location:
  • Phone: 914-597-2500
  • Fax: 914-597-2439
Mailing address:
  • Phone: 718-543-4850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number00123789
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: