Keith R. Brunckhorst M.D. P.C.
LBN: Keith R. Brunckhorst M.D. P.C.
Keith R. Brunckhorst M.D. P.C. is an health care organization with primary practice located at 110 E 59Th St Suite 9B, New York NY 10022-1304. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Keith R. Brunckhorst M.D. P.C. can be contacted via phone (212) 583-2858, or through Brunckhorst, Keith R via phone (212) 583-2858.
Contact Information
Primary practice address
110 E 59Th St Suite 9B
New York NY 10022-1304
Phone: (212) 583-2858
Fax: (212) 407-3909
Website:
Authorized official contact:
Name: Brunckhorst, Keith R Doctor of Medicine (MD)
Phone: (212) 583-2858
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 137444 | New York |
Profile Details
| NPI number | 1346293933 |
|---|---|
| LBN Legal business name | Keith R. Brunckhorst M.D. P.C. |
| DBA Doing business as | |
| Authorized official | Brunckhorst, Keith R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346293933 | NPPES |
| New York | Other | 3C5522 | HEALTHNET |
| New York | Other | 4322245 | HEALTHNET |
| New York | Other | 6277621 | HEALTHNET |
| New York | Other | P406448 | HEALTHNET |
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