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JENNIFER BRUCKNER
NPI 1306389127
Specialist in Dix Hills, NY

Active since November 28, 2016
15 PARKSIDE DR, DIX HILLS, NY 11746(516) 965-4544 Get Directions Write a Review

NPPES record last updated: November 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Bruckner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER BRUCKNER (NPI 1306389127) is an individual specialist in Dix Hills, New York, licensed in New York (1082350) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1306389127
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJENNIFER BRUCKNER
Location Address15 PARKSIDE DRDix Hills, NY 11746-4821
Mailing Address15 Parkside DrDix Hills, NY 11746-4821 · (516) 965-4544
Phone(516) 965-4544
Sole ProprietorNo
Enumeration DateNovember 28, 2016
✔ NPI 1306389127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 1082350
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
15 PARKSIDE DR, Dix Hills, NY 11746
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Bruckner's NPI number?

The NPI number for Jennifer Bruckner is 1306389127. It was assigned to this individual provider in the NPPES registry on November 28, 2016.

Where is Jennifer Bruckner located?

Jennifer Bruckner practices at 15 Parkside Dr, Dix Hills, NY 11746. The listed phone number is (516) 965-4544.

What is Jennifer Bruckner's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jennifer Bruckner was last updated on November 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.