IndividualActive
Alex Bruckstein, MD
NPI 1114971835 · Gastroenterology Physician · Staten Island, NY
Provider details
- NPI number
- 1114971835
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- NY129764 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2627 Hylan Blvd
Staten Island, NY 10306-4339
Phone: (718) 667-3200
Fax: (718) 667-6615
Approximate (ZIP-level) locationGet directions
Mailing address
2627 Hylan Blvd
Staten Island, NY 10306-4339
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2010-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.