Brunson, Sandra Cullen

Brunson, Sandra Cullen is an individual health care provider with primary practice located at 2035 Lakeville Road , New Hyde Park NY 11040. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Brunson, Sandra Cullen can be contacted via phone (516) 437-4098.

Contact Information

Primary practice address
2035 Lakeville Road New Hyde Park NY 11040
Phone: (516) 437-4098
Fax: (516) 352-6579
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 124295 New York
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 124295 New York

Profile Details

NPI number 1952326613
LBN Legal business name Brunson, Sandra Cullen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 8th, 2007 - about 19 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 1952326613 NPPES
New York MEDICAID 01262115

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