Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRUCE L REBOLD, MD
Active Sole ProprietorDR. BRUCE L REBOLD, MD is a Gynecology healthcare provider located in SYOSSET, New York. NPI 1215089313 is currently active in the NPPES registry. Verify at CMS.
Gynecology · SYOSSET, NY
Registration Details
- NPI Number
- 1215089313
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2007 (19.612168719644 yrs)
- Last Updated
- Apr 5, 2012
- Licenses
-
136518 (NY)136518 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
87 COLD SPRING RDSYOSSET, NY, 117913109Browse NY providers · Browse ZIP 11791
- Phone
- 5169213168
- Primary Specialty
-
Gynecology
207VG0400X
- Additional Specialty
- Obstetrics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.