MR. MICHAEL BRUSO


Address: 5436 Peru St. Apt. 5, Plattsburgh, NY 12901
Phone: 5185633519

MR. MICHAEL BRUSO (NPI# 1780136697) 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) 1780136697
Entity Type Individual
Full Name MR. MICHAEL BRUSO
Credential SCHOOL PSYCHOLOGIST
Practice Address 5436 Peru St. Apt. 5
Plattsburgh
NY 12901
Mailing Address 5436 Peru St Apt 5
Plattsburgh
NY 12901-3474
Practice Telephone 5185633519
Mailing Telephone 5185633519
Enumeration Date 2016-10-26
Last Update Date 2016-10-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
142579861 NY Behavioral Health & Social Service Providers

Office Location

Street Address 5436 PERU ST. APT. 5
City PLATTSBURGH
State NY
Zip Code 12901

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1396284477 Florence Reynaud Acupuncturist 135 S. Peru Street, Adirondack Integrative Wellness Center, Plattsburgh, NY 12901 2017-02-22
1124565783 Mytchel Hector Registered Nurse 43 Hamilton Street Apt #202, Plattsburgh, NY 12901 2017-01-20
1902357536 Ashley Patricia Cota Nurse Practitioner 214 Cornelia St., Plattsburgh, NY 12901 2016-10-19
1255703310 Kenneth Wayne Ackley Licensed Practical Nurse 16 Ampersand Drive, Plattsbugh, NY 12901 2015-10-28
1275949448 Shanni Lee Hicks Specialist 63 Arnold Rd, Plattsburgh, NY 12901 2014-07-08
1730590845 Rachel Flemming Speech-Language Pathologist 22 New York Road, North Country Kids, Inc., Plattsburgh, NY 12901 2014-05-12
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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396095121 Brigitte Louise Phillips Psychologist 427 Margaret Street, Plattsburgh, NY 12901 2012-09-19
1588802854 Judith Mcdonald Psychologist 427 Margaret St, Plattsburgh, NY 12901-1707 2009-01-26
1992959241 Mindy Beth Fay Psychologist 427 Margaret St, Plattsburgh, NY 12901-1707 2008-11-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548860612 Zoe Spiegel Psychologist 20 Harding Dr, New Rochelle, NY 10801-4610 2020-10-28
1053910059 Erin Elizabeth Gurdineer Psychologist 131 South Third St, Northville, NY 12134-0608 2020-10-21
1114534310 Alana May Sandberg Psychologist 10421 68th Dr Apt A20, Forest Hills, NY 11375-3475 2020-09-30
1437766177 Danielle Brudner Psychologist 18 Cygnet Rd, Congers, NY 10920-1790 2020-09-27
1023624145 Karleen Marie Gabriel Psychologist 35 Steven Pl, Smithtown, NY 11787-5419 2020-09-23
1730795832 Erin A Hyle Psychologist 9 Maywood Ave, Rye Brook, NY 10573-2401 2020-09-23
1083220826 Tina Ruggiero Psychologist 61 Fox Ct, Manorville, NY 11949-2613 2020-09-17
1952917650 Margaret Jane Willard Psychologist 167 15th St Apt 2l, Brooklyn, NY 11215-4849 2020-09-17
1902410137 Dana Levine Psychologist 7 Chester Dr, Great Neck, NY 11021-4904 2020-09-04
1871107946 Michele D Jefferson Psychologist 66 Main St Apt 525, Yonkers, NY 10701-8853 2020-09-04
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Competitor

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City PLATTSBURGH
Zip Code 12901

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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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