Dr. Lauren B Bruckner
Pediatric Hematology-Oncologist
Elm And Carlton Streets
Buffalo
, New York 14263-0001
Dr. Lauren B Bruckner
Pediatric Hematology-Oncologist
Elm And Carlton Streets
Buffalo
, New York 14263-0001
(585) 275-7787
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About
Features
Specialties
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Dr. Lauren B Bruckner
- 601 Elmwood Ave Box 635
- Rochester, NY
- Zip : 14642-0001
- Phone : (585) 275-7787
Second Address
- Dr. Lauren B Bruckner
- Elm And Carlton Streets
- Buffalo, NY
- Zip : 14263-0001
- Phone : (716) 845-2300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0207X | Pediatric Hematology-Oncologist | 211783 | NY |
National Provider Identifier
| NPI | 1053346841 |
|---|---|
| Provider Name | Dr. Lauren B Bruckner |
| First Address | Rochester, NY 14642-0001 |
| Second Address | Buffalo, NY 14263-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2006 |
| Last Update Date | 30/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02319148 | (05) | NY |
| I12229 | (02) |
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.