Individual
EMMANUEL BRUNOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHYSICIAN
Contact information
Practice address
5520 GLENWOOD ROAD, SUITE 3B, BROOKLYN, NY 11234
(718) 531-5807
(718) 251-1332
Mailing address
10 ASH DRIVE, ROSLYN, NY 11576
(516) 629-6766
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
NYLIC#193810
NY
2084N0400X
Neurology Physician
Primary
NYLIC#193810
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01530478
—
NY
Enumeration date
12/13/2006
Last updated
09/11/2025
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