ELISSA BRUZGA


Address: 208 Schoenfeld Blvd, Patchogue, NY 11772-2961
Phone: 6314338354

ELISSA BRUZGA (NPI# 1053933861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053933861
Entity Type Individual
Full Name ELISSA BRUZGA
Practice Address 208 Schoenfeld Blvd
Patchogue
NY 11772-2961
Practice Telephone 6314338354
Mailing Telephone 6314338354
Enumeration Date 2020-05-14
Last Update Date 2020-05-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WM0705X Registered Nurse
Specialization: Medical-Surgical
702133 NY Nursing Service Providers

Office Location

Street Address 208 SCHOENFELD BLVD
City PATCHOGUE
State NY
Zip Code 11772-2961

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205447224 Amita Vipul Patel Nurse Practitioner Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 2020-08-13
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1992297204 Camila Bueno-sanchez Student in an Organized Health Care Education/Training Program 676 S Country Rd, East Patchogue, NY 11772 2018-06-01
1184115859 Premier Endodontics of Patchogue Dentist 44 Medford Avenue, Patchogue, NY 11772 2018-05-29
1801386453 Franklin Ikechukwu Ugbode Student in an Organized Health Care Education/Training Program 100 Hospital Road Suite 201, Patchogue, NY 11772 2018-05-18
1508372335 Stephanie Vanschaick Counselor 450 Waverly Ave Ste 11, Patchogue, NY 11772 2017-12-15
1578074498 Chrystal Lee Curran Specialist 1116 Main Road, Aquebogue, NY 11772 2017-10-18
1013457712 Candyce Fahner Registered Nurse 22 Haig Ave, E Patchogue, NY 11772 2017-02-28
1992251631 Vanessa Lynn Petoello Nurse Practitioner 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 2016-09-01
1811343809 Andrew Vanderlofske Nurse Practitioner 144 North Ocean Avenue, Patchogue, NY 11772 2016-05-09
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Taxonomy Information

Taxonomy Code 163WM0705X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Medical-Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1710591292 Suzanne Soltani Registered Nurse 6 Harriet Ct, Sea Cliff, NY 11579-1419 2020-09-02
1790397446 Chaunte West Registered Nurse 98 Spaulding St, Buffalo, NY 14220-1238 2020-08-22
1023627288 Nikkita Jackson Registered Nurse 454 Westchester Avenue, Port Chester, NY 10573 2020-07-23
1154946663 Schnell Ewart Fowles Registered Nurse 14742 109th Ave, Jamaica, NY 11435-5416 2020-06-10
1295359057 Amenda Almonte Registered Nurse 15804 Sanford Ave Apt 2a, Flushing, NY 11358-2532 2020-06-07
1982228979 Christine Egeria Mouzakitis Registered Nurse 12 Vinton St, North Massapequa, NY 11758-1030 2020-06-04
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Competitor

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City PATCHOGUE
Zip Code 11772

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Dataset Information

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.

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