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NPI Code Detail

MEDICARE: STEVEN HOWARD BRUNN RPH

MEDICARE: STEVEN HOWARD BRUNN RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist045521NY

General Provider Information

NPI Number : 1497938229
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN HOWARD BRUNN RPH
Provider Business Mailing Address
First Line : 3823 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-2012
Country : US
Telephone Number : 718-743-8933
Fax Number : 718-332-2381
Provider Business Practice Location Address
First Line : 3823 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-2012
Country : US
Telephone Number : 718-743-8933
Fax Number : 718-332-2381
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2007
Last Update Date : 12/15/2007

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