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Organization
ERIN BRUNTON, LLC
Active
Organization
ERIN BRUNTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERIN BRIDGET BRUNTON MSED (OWNER)
(917) 757-9781
Entity
Organization
Contact information
Practice address
23 CLOVE WAY, STATEN ISLAND, NY 10301-3634
(917) 757-9781
Mailing address
23 CLOVE WAY, STATEN ISLAND, NY 10301-3634
(917) 757-9781
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689935538
DOH
NY
Enumeration date
11/14/2018
Last updated
11/14/2018
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