Steven John Brussich, optician
Technician/Technologist, Optician in Bronx, NY. Individual provider (NPI-1).
NPI number1912198698
StatusActive
Last updated in NPPESAug 7, 2007
Details
- NPI
- 1912198698
- Entity type
- Individual (NPI-1)
- Name
- Mr. Steven John Brussich
- Credential
- optician
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2007
- Last updated
- Aug 7, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 006368-1 | NY | Yes |
Practice location
5901 Riverdale AveBronx, NY 10471-1602
Phone 718-543-3336 · Fax 718-543-6463
Mailing address
5901 Riverdale AveBronx, NY 10471-1602
Phone 718-543-3336 · Fax 718-543-6463
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