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Individual

PHILIP F BRUNNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2790 DELAWARE AVE, KENMORE, NY 14217-2704
(716) 931-9037
Mailing address
252 NORWOOD AVE, BUFFALO, NY 14222-1710
(716) 253-9354

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
129501-01
NY

Other

Enumeration date
01/28/2026
Last updated
01/28/2026
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