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NPI Code Detail

MEDICARE: RITA BRUNEY LPN

MEDICARE: RITA BRUNEY LPN
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
1164W00000XLicensed Practical Nurse173608NY

General Provider Information

NPI Number : 1881917722
Entity Type Code : Individual
Provider Name (Legal Business Name) : RITA BRUNEY LPN
Provider Business Mailing Address
First Line : 2920 CORTELYOU RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-6313
Country : US
Telephone Number : 718-287-4300
Fax Number : 718-287-4600
Provider Business Practice Location Address
First Line : 2920 CORTELYOU RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-6313
Country : US
Telephone Number : 718-287-4300
Fax Number : 718-287-4600
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2010
Last Update Date : 03/06/2010

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