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Lisa Bruefach, RPA-C
Medical Physician Assistant in Roslyn, New York
NPI 1245458223

Lisa Bruefach is a Medical Physician Assistant based in Roslyn, NY and is specialized in Medical. Lisa Bruefach practices in Roslyn, NY and has the professional credentials of RPA-C. The NPI Number for Lisa Bruefach is 1245458223 and holds a License No. 005205 (New York).

The current practice location address for Lisa Bruefach is 100 Port Washington Blvd, Roslyn, NY and can be reached out via phone at 516-562-6602 and via fax at 516-562-6614.

Location: 100 Port Washington Blvd, Roslyn, NY, 11576-2209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245458223
Provider Name
Lisa Bruefach
Credential
RPA-C
Provider Entity Type
Individual
Gender
Female
Address
100 Port Washington Blvd, Roslyn, NY, 11576-2209
Phone Number
516-562-6602
Fax Number
516-562-6614
Provider Enumeration Date
04/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Port Washington Blvd
City
Roslyn
State
New York
Zip
11576-1353
Phone Number
516-562-6602
Fax Number
516-562-6614
person
Provider Business Mailing Address Details
Address
100 Port Washington Blvd
City
Roslyn
State
New York
Zip
11576-1353
Phone Number
516-562-6602
Fax Number
516-562-6614
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
005205 (New York)
Definition
Definition to come...
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