Provider Demographics
NPI:1598279846
Name:BRUCKMAN, FLORENCE (MS ED, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:FLORENCE
Middle Name:
Last Name:BRUCKMAN
Suffix:
Gender:F
Credentials:MS ED, BCBA
Other - Prefix:
Other - First Name:FLORENCE
Other - Middle Name:
Other - Last Name:SLOMIUC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS ED, BCBA
Mailing Address - Street 1:2 HILLEL CT
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-1734
Mailing Address - Country:US
Mailing Address - Phone:845-538-1229
Mailing Address - Fax:
Practice Address - Street 1:222 ROUTE 59
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-5204
Practice Address - Country:US
Practice Address - Phone:845-477-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-23
Last Update Date:2017-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst