MEDICARE: COLETTE BRUNI DO

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
1	2084P0800X	Psychiatry Physician	201201	NY

General Provider Information

NPI Number	:	1811008808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLETTE BRUNI DO

Provider Business Mailing Address
First Line	:	260 E 188TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10458-5302
Country	:	US
Telephone Number	:	718-960-3165
Fax Number	:	718-960-3002

Provider Business Practice Location Address
First Line	:	260 E 188TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10458-5302
Country	:	US
Telephone Number	:	718-960-3165
Fax Number	:	718-960-3002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	06/12/2023

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Directions to “ COLETTE BRUNI DO” Practice Location

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