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General NPI Number Information
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NPI Number | 1508047739
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Entity Type | Organization
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Legal Business Name | JAMES L. BRUNO, M.D., P.C.
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 277 NELSON AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10308-3204
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Country | US
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Telephone | 718-608-9600
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Fax | 718-608-9137
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Provider Business Mailing Address
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Address Line | 4010 HYLAN BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10308-3331
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Country | US
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Telephone | 718-608-9600
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Fax | 718-608-9137
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | JAMES L. BRUNO
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Credential | M.D.
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Telephone | 718-608-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 185896
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 185896
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License Number State | NY
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