Individual
SANDRA CULLEN BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2035 LAKEVILLE ROAD, NEW HYDE PARK, NY 11040
(516) 437-4098
(516) 352-6579
Mailing address
2035 LAKEVILLE ROAD, NEW HYDE PARK, NY 11040
(516) 437-4098
(516) 352-6579
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
124295
NY
2080P0202X
Pediatric Cardiology Physician
Primary
124295
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01262115
—
NY
Enumeration date
07/13/2006
Last updated
09/11/2025
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