MEDICARE: CHERYL A BRUZGUL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	006143	NY

General Provider Information

NPI Number	:	1750052254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL A BRUZGUL

Provider Business Mailing Address
First Line	:	113 CHRISTIAN HILL RD
Second Line	:
City	:	DOVER PLAINS
State	:	NY
Zip	:	12522-5038
Country	:	US
Telephone Number	:	914-204-9752
Fax Number	:

Provider Business Practice Location Address
First Line	:	113 CHRISTIAN HILL RD
Second Line	:
City	:	DOVER PLAINS
State	:	NY
Zip	:	12522-5038
Country	:	US
Telephone Number	:	914-204-9752
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2021
Last Update Date	:	09/23/2021

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Directions to “ CHERYL A BRUZGUL ” Practice Location

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