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Contact Information

BRUCE R MAYERSON, MD
45 TERRY ROAD
SUITE A
SMITHTOWN, NY11787
 Phone: 631-265-4485
 Fax: 631-265-3620
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for BRUCE R MAYERSON · (Male)

NPI Number 1477657666
Status Active
Credentials MD
Entity Individual
Enumeration date 09/11/2006
Last updated 05/28/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 210222
Hospital affiliation(s)
  • ST CATHERINE OF SIENA HOSPITAL - (Acute Care)
    50 ROUTE 25A
    SMITHTOWN, NY 11787
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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