Keith Robert Brunckhorst M.D.

NPI 1053381186 - Specialist - 174400000X

NPI Details
NPI 1053381186
Gender Male
Enumeration Date 01/23/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
110 E 59TH ST
SUITE9B
NEW YORK NY, 10022-1304, US
Phone (212) 583-2858
Fax (212) 407-3909
Business Location
110 E 59TH ST
SUITE9B
NEW YORK NY, 10022-1304, US
Phone (212) 583-2858
Fax (212) 407-3909
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 137444
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According to our database, Dr. Keith Robert Brunckhorst M.D. NPI is 1053381186, taxonomy code is 174400000X and license number is 137444, license state is located at New York. Keith Robert Brunckhorst M.D. physically located at 110 E 59th St, New York NY, 10022-1304. NPI Number Keith Robert Brunckhorst M.D. has the Individual type.

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1053381186 NPI number is provided on an as is basis without warranty of any kind. 1053381186 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Robert Brunckhorst M.D. are for informational purposes only.