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Contact Information

BRIAN CRUICKSHANK, MD
14 TECHNOLOGY DR
SUITES 11 & 12
EAST SETAUKET, NY11733-3472
 Phone: 631-444-4233
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BRIAN CRUICKSHANK · (Male)

NPI # 1255582458
Status Active
Credentials MD
Entity Individual
Enumeration date 10/06/2008
Last updated 08/14/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 023719-1
  • NY License # 60 271708
Hospital affiliation(s)
  • 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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