ROBERT L BRUCKSTEIN MD PC (NPI# 1194002733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194002733 |
| Entity Type | Organization |
| Organization Name | ROBERT L BRUCKSTEIN MD PC |
| Practice Address |
290 Central Ave Suite 206 Lawrence NY 11559-8507 |
| Practice Telephone | 5162392332 |
| Mailing Telephone | 5162392332 |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |
| Authorized Official Name | DR. ROBERT L BRUCKSTEIN (PRESIDENT) |
| Authorized Official Telephone | 5162392332 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 117212-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00216904 | 05 |
| Street Address |
290 CENTRAL AVE SUITE 206 |
| City | LAWRENCE |
| State | NY |
| Zip Code | 11559-8507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386644375 | Robert L Bruckstein | Dermatology | 290 Central Ave, Suite 206, Lawrence, NY 11559-8507 | 2005-07-31 |
| 1780058156 | Esther Fogel, Audiology,slp, P.C. | Speech-Language Pathologist | 290 Central Ave, Lawrence, NY 11559-8507 | 2015-11-22 |
| 1750718607 | Irene Zide Md | Internal Medicine | 290 Central Ave, Suite 202, Lawrence, NY 11559-8507 | 2013-10-07 |
| 1356783161 | Vanessa Isoldi | Physician Assistant | 290 Central Ave, Suite 107, Lawrence, NY 11559-8507 | 2013-07-22 |
| 1043658222 | Elite Uds LLC | Specialist | 290 Central Ave, Suite 109, Lawrence, NY 11559-8507 | 2013-06-10 |
| 1689916405 | Miles Jonathan Yacker | Dentist | 290 Central Ave, Suite 201, Lawrence, NY 11559-8507 | 2013-03-19 |
| 1366715740 | G Sadowsky | Psychologist | 290 Central Ave, #112, Lawrence, NY 11559-8507 | 2012-02-16 |
| 1003188764 | Yitzhak D. Twersky M.d., P.C. | Internal Medicine | 290 Central Ave, Suite 204, Lawrence, NY 11559-8507 | 2012-01-27 |
| 1023303120 | Central Consulting Group LLC | Urology | 290 Central Ave, Lawrence, NY 11559-8507 | 2011-06-16 |
| 1164751566 | Tuviah S. Shulman | Dentist | 290 Central Ave, 215, Lawrence, NY 11559-8507 | 2009-12-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306310362 | Marlee Katz | Specialist | 26 Sealy Dr, Lawrence, NY 11559 | 2019-01-13 |
| 1184000374 | Rebecca Beiss | Speech-Language Pathologist | 40 Stevens Place, Lawrence, NY 11559 | 2015-08-11 |
| 1114268620 | Gegendeep Kaur Chawla | Occupational Therapist | 219 Spring St, Lawrence, NY 11559 | 2013-03-07 |
| 1972872810 | Esther P Adler | Occupational Therapist | 227 Juniper Cir S, Lawrence, NY 11559 | 2011-12-21 |
| 1790068229 | Elisheva Listhaus | Speech-Language Pathologist | 70 Causeway, Lawrence, NY 11559 | 2011-09-21 |
| 1073803367 | Michele Golub Seelenfreund | Occupational Therapist | 15 Sealy Drive, Lawrence, NY 11559 | 2011-04-08 |
| 1306153804 | Benjamin Z. Weiss | Psychologist | 360 Central Avenue-suite 110, Suite 110, Lawrence, NY 11559 | 2010-09-03 |
| 1497900203 | Sharon Miriam Moerman | Speech-Language Pathologist | 240 Juniper Circle East, Lawrence, NY 11559 | 2008-11-20 |
| 1134376569 | Shifra Eisig | Dietitian, Registered | 43 Herrick Drive, Lawrence, NY 11559 | 2008-08-27 |
| 1710102306 | Mark Billet | Dentist | 290 Central Avenue, 208, Lawrence, NY 11559 | 2007-04-17 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154420263 | Lee R Bittenbender | Dermatology | 3511 Clinton Pl Ste C, Lawrence, KS 66047-2213 | 2006-09-22 |
| 1386644375 | Robert L Bruckstein | Dermatology | 290 Central Ave, Suite 206, Lawrence, NY 11559-8507 | 2005-07-31 |
| 1063410488 | Matthew G Buxton | Dermatology | 3511 Clinton Pl, Lawrence, KS 66047-2196 | 2005-07-10 |
| 1730396680 | Matthew G. Buxton, M.d., Pa | Dermatology | 3511 Clinton Pl, Lawrence, KS 66047-2196 | 2007-05-17 |
| 1770678997 | Lee R. Bittenbender, M. D., P. A. | Dermatology | 930 Iowa St, Lawrence, KS 66044-1835 | 2006-10-04 |
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|---|---|---|---|---|
| 1225636384 | Markowitz Medical Pllc | Dermatology | 1150 5th Ave # Suire1a, New York, NY 10128-0724 | 2020-10-12 |
| 1114545985 | Tarek Yamany Md Pllc | Dermatology | 229 W 60th St Apt 8e, New York, NY 10023-7507 | 2020-07-08 |
| 1952924839 | Elizabeth Jessica Ranelli | Dermatology | 16 W 17th St, New York, NY 10011-5738 | 2020-05-26 |
| 1841811148 | Stuart Daniel Shanler | Dermatology | 53 Underhill Dr, Pomona, NY 10970-2668 | 2020-04-28 |
| 1740800309 | Ns Arora Dermatology Pllc | Dermatology | 99 Jericho Tpke Ste 110, Jericho, NY 11753-1015 | 2020-04-23 |
| 1174163406 | Halite Services Crop | Dermatology | 447 Rose Ln, Rockville Centre, NY 11570-1429 | 2020-01-15 |
| 1235776485 | Libby Rhee Do Dermatology Pllc | Dermatology | 110 E 60th St # 800, New York, NY 10022-1688 | 2019-12-06 |
| 1588214357 | Advanced Dermatology of New York PC | Dermatology | 1-3 West 125th Street, New York, NY 10027 | 2019-09-13 |
| 1568018588 | Mary Matina Valinotti | Dermatology | 332 E Main St Ste 1, Bay Shore, NY 11706-8436 | 2019-08-15 |
| 1831751379 | Jessica Weiser, M.d., Pllc | Dermatology | 155 Spring St Fl 5, New York, NY 10012-5208 | 2019-07-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.