Organization · Type 2 NPI
Keith R. Brunckhorst M.d. P.c.
Specialist · New York, NY
NPI number
1346293933
Active
Practice location
110 E 59th St, Suite 9B
New York, NY 10022-1304
Fax (212) 407-3909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 137444 (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 1346293933
Keith R. Brunckhorst M.d. P.c.'s National Provider Identifier is 1346293933, issued on May 18, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on Aug 22, 2020.