Sallyan Bruno, B.A.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

924736 Issued in NJ

Practice address

874 W Broadway
C2
Woodmere, NY 11598-2057

Phone

(201) 456-3527

NPI assigned

Jun 4, 2014

Last updated

Jun 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1407269707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 W BROADWAY",
            "address_2": "C2",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982057",
            "telephone_number": "201-456-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 W BROADWAY",
            "address_2": "C2",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982057",
            "telephone_number": "201-456-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "SALLYAN",
        "credential": "B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NJ",
            "license": "924736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jenna Lee Bromberg, LMSW
• Rina Malka Bronstein, LCSW
• Bronx River Nephro Care at Woodmere
• Ilana Buchsbayew
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• Jonathan Cappotelli
• Catherine Carballeira, LCSW
• Caring Physical Therapy Services, PLLC

• Early Intervention Provider Agency in Woodmere, NY
• Providers in Woodmere, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.