Dr. Bruce L Rebold
Gynecologist Obstetrician
87 Cold Spring Rd
Syosset
, New York 11791-3109
Dr. Bruce L Rebold
Gynecologist Obstetrician
87 Cold Spring Rd
Syosset
, New York 11791-3109
(516) 921-3168
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About
Features
Specialties
- Gynecologist
- Obstetrician
Languages spoken
- English
Location
First Address
- Dr. Bruce L Rebold
- 87 Cold Spring Rd
- Syosset, NY
- Zip : 11791-3109
- Phone : (516) 921-3168
Second Address
- Dr. Bruce L Rebold
- 87 Cold Spring Rd
- Syosset, NY
- Zip : 11791-3109
- Phone : (516) 921-3168
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 136518 | NY |
| N | 207VX0000X | Obstetrician | 136518 | NY |
National Provider Identifier
| NPI | 1215089313 |
|---|---|
| Provider Name | Dr. Bruce L Rebold |
| First Address | Syosset, NY 11791-3109 |
| Second Address | Syosset, NY 11791-3109 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/01/2007 |
| Last Update Date | 05/04/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A63667 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.