Provider Demographics
NPI:1689759250
Name:FIRST, MICHAEL BRUCE (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:BRUCE
Last Name:FIRST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1051 RIVERSIDE DR
Mailing Address - Street 2:UNIT 60
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-1007
Mailing Address - Country:US
Mailing Address - Phone:646-774-7935
Mailing Address - Fax:646-774-7933
Practice Address - Street 1:1051 RIVERSIDE DR
Practice Address - Street 2:UNIT 60
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-1007
Practice Address - Country:US
Practice Address - Phone:646-774-7935
Practice Address - Fax:646-774-7933
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2014-12-03
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Provider Licenses
StateLicense IDTaxonomies
NY1585822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry