NPI 1457353856

Bruce Alan Dorman, DPM

Practitioner Podiatrist Fresh Meadows, NY

Practice location

Address: 6134 188th St Suite 203, Fresh Meadows, NY 11365-2726
Phone: (718) 454-4333
Fax: (718) 454-4823
Mailing address: 30 Hightop Ln, Jericho, NY 11753-1719

Registered specialties (2)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence NY003551 (NY)

Other Podiatrist providers in New York →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 1495 (FL)

Registry record

NPI: 1457353856
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Aug 2005
Record last updated: 30 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.