institution
Keith R. Brunckhorst M.d. P.c.
Specialist in New York, New York
NPI 1346293933

Keith R. Brunckhorst M.d. P.c. is a Specialist based in New York, NY. Keith R. Brunckhorst M.d. P.c. practices in New York, NY. The NPI Number for Keith R. Brunckhorst M.d. P.c. is 1346293933 and holds a License No. 137444 (New York).

The current practice location address for Keith R. Brunckhorst M.d. P.c. is 110 E 59Th St, New York, NY and can be reached out via phone at 212-583-2858 and via fax at 212-407-3909.

Location: 110 E 59Th St, New York, NY, 10022-1304
institution
Provider Profile Details
NPI Number
1346293933
Provider Name
Keith R. Brunckhorst M.d. P.c.
Credential
Provider Entity Type
Organization
Address
110 E 59Th St, New York, NY, 10022-1304
Phone Number
212-583-2858
Fax Number
212-407-3909
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3C5522 01 NY HEALTHNET
4322245 01 NY AETNA
6277621 01 NY CIGNA
P406448 01 NY OXFORD
institution
Provider Business Practice Location Address Details
Address
110 E 59Th St
City
State
Zip
10022-1304
Phone Number
212-583-2858
Fax Number
212-407-3909
person
Provider Business Mailing Address Details
Address
110 E 59Th St
City
State
Zip
10022-1304
Phone Number
212-583-2858
Fax Number
212-407-3909
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
137444 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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