Provider Demographics
NPI:1326180514
Name:BRUNO, STEVEN W (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:W
Last Name:BRUNO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 RENEE GATE
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-1414
Mailing Address - Country:US
Mailing Address - Phone:914-528-7878
Mailing Address - Fax:914-528-7991
Practice Address - Street 1:2 RENEE GATE
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-1414
Practice Address - Country:US
Practice Address - Phone:914-528-7878
Practice Address - Fax:914-528-7991
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX2304111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4395600OtherAETNA
NYX8M43OtherBCBS
X14402Medicare ID - Type Unspecified
NYX8M43OtherBCBS
52106Medicare UPIN