Individual
MS. ELLEN BRUNETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E ECKERSON RD, NEW CITY, NY 10956-7153
(845) 352-6936
(845) 352-3144
Mailing address
200 EAST ECKERSON ROAD, 1-6, NEW CITY, NY 10956-7153
(845) 352-5900
(845) 352-1142
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
333535
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023189990
NPI
NY
01
—
113324002
TAX ID
NY
Enumeration date
05/31/2007
Last updated
04/26/2017
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