Provider Demographics
NPI:1346529021
Name:RECTOR, BRUCE E (MD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:E
Last Name:RECTOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 W 42ND ST
Mailing Address - Street 2:9F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-6220
Mailing Address - Country:US
Mailing Address - Phone:917-747-1930
Mailing Address - Fax:
Practice Address - Street 1:529 W 42ND ST
Practice Address - Street 2:9F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-6220
Practice Address - Country:US
Practice Address - Phone:917-747-1930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY201390208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice