Individual
BRIAN MUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7000
Mailing address
24 ROCKLAND DR, JERICHO, NY 11753-1409
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311373
NY
Other
Enumeration date
07/28/2023
Last updated
12/27/2024
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