Brantuk, Karla

Brantuk, Karla is an individual health care provider with primary practice located at 951 Roanoke Ave , Riverhead NY 11901-2724. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brantuk, Karla can be contacted via phone (631) 369-5005.

Contact Information

Primary practice address
951 Roanoke Ave Riverhead NY 11901-2724
Phone: (631) 369-5005
Fax: (631) 369-4994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 009559 New York

Profile Details

NPI number 1255389250
LBN Legal business name Brantuk, Karla
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Feb 7th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255389250 NPPES
New York MEDICAID 02517375

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