Individual
DR. JOHN C BRUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 939-2740
(212) 939-2759
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 939-2740
(212) 939-2759
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
095100
NY
208M00000X
Hospitalist Physician
Primary
095100
NY
Other
Enumeration date
08/30/2006
Last updated
03/06/2023
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