Brunell, Staci
Brunell, Staci is an individual health care provider with primary practice located at 1974 Maple Hill St # A , Yorktown Heights NY 10598-4190. She recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Brunell, Staci can be contacted via phone (914) 245-1670.Contact Information
Primary practice address
1974 Maple Hill St # A
Yorktown Heights NY 10598-4190
Phone: (914) 245-1670
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 059881 | New York |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Dental Providers / Pediatric Dentistry | 1223P0221X | 059881 | New York |
Profile Details
NPI number | 1306366083 |
---|---|
LBN Legal business name | Brunell, Staci |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2017 |
Last updated | Sep 11th, 2020 - about 4 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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