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Organization
SPINE SPORTS & REHABILITATION MEDICINE, P.C.
Active
Organization
SPINE SPORTS & REHABILITATION MEDICINE, P.C.
Active
Other names
Michelle Malkie Brunner, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MALKIE BRUNNER MD (PRESIDENT)
(516) 987-9837
Entity
Organization
Contact information
Practice address
123 MAPLE AVE STE LL, CEDARHURST, NY 11516-2240
(516) 703-3580
(516) 531-8877
Mailing address
359 YALE AVE, WOODMERE, NY 11598-2039
(516) 987-9837
(516) 531-8877
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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