Brunson, Sandra Cullen
Brunson, Sandra Cullen is an individual health care provider with primary practice located at 2035 Lakeville Road , New Hyde Park NY 11040. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Brunson, Sandra Cullen can be contacted via phone (516) 437-4098.Contact Information
Primary practice address
2035 Lakeville Road
New Hyde Park NY 11040
Phone: (516) 437-4098
Fax: (516) 352-6579
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 124295 | New York |
Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 124295 | New York |
Profile Details
NPI number | 1952326613 |
---|---|
LBN Legal business name | Brunson, Sandra Cullen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 13th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952326613 | NPPES |
New York | MEDICAID | 01262115 |
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