Individual provider · Type 1 NPI

Keith Robert Brunckhorst, MD

Specialist · New York, NY

NPI number 1053381186 Active

Practice location

157 E 72nd St
New York, NY 10021-4331

Call (212) 583-2858 Map

Fax (212) 988-8408

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X137444 (NY)

Specialist: 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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About NPI 1053381186

Keith Robert Brunckhorst, MD's National Provider Identifier is 1053381186, issued on Jan 23, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on Jul 13, 2026.