Provider Demographics
NPI:1255547014
Name:LAMBERT, BRUCE HOWARD (DC)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:HOWARD
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 MONTAGUE ST
Mailing Address - Street 2:SUITE 502
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-3605
Mailing Address - Country:US
Mailing Address - Phone:718-797-3015
Mailing Address - Fax:
Practice Address - Street 1:188 MONTAGUE ST
Practice Address - Street 2:SUITE 502
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-3605
Practice Address - Country:US
Practice Address - Phone:718-797-3015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX07778111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC007778-6OtherWORKER COMPENSATION NUMBE
NYX07778OtherLICENCE NUMBER
NYX07778OtherLICENCE NUMBER