Individual
DR. STEVEN J. BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
241 E MAIN ST, HUNTINGTON, NY 11743-2924
(631) 367-5300
(631) 351-4561
Mailing address
241 E MAIN ST, HUNTINGTON, NY 11743-2924
(631) 367-5300
(631) 351-4561
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
229156-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02601476
—
NY
01
—
2695852
GHI
NY
01
—
3C6485
HEALTHNET
NY
01
—
605Z61
BLUE CROSS/ BLUE SHIELD
NY
01
—
P3344549
OXFORD
NY
Enumeration date
07/31/2006
Last updated
07/02/2008
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