Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 190949-1 | NY |
NPI | 1013996131 |
---|---|
Provider Name | Dr. August A Bruno JR. |
First Address | Williamsville, NY 14221-5782 |
Second Address | Orchard Park, NY 14221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2006 |
Last Update Date | 04/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00010021601 | UNIVERA (01) | NY |
000523639001 | HEALTH NOW (01) | NY |
01572816 | (05) | NY |
0707088 | IHA (01) | NY |
160056595 | RR MEDICARE (01) | NY |
161000580 | AETNA (01) | NY |
161000580 | CIGNA (01) | NY |
161000580 | EMPIRE PLAN (01) | NY |
161000580 | GHI (01) | NY |
161000580 | NORTH AMERICAN PREFERRED (01) | NY |
161000580002 | TRICARE (01) | NY |
G02668 | (02) | NY |