Doctor Name: | KARINA ANDREA BRUNO |
NPI Number: | 1124377114 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SOCIAL WORKER |
License Number: | 070323 |
Business Practice Address: | 235 Belmont Blvd Elmont, NY - 110032245 |
Business Phone Number: | 5163265570 |
Business Fax Number: | |
Mailing Address: | 235 Belmont Blvd, ELMONT |
State: | NY |
Postal Code: | 110032245 |
Phone Number: | 5163265570 |
Fax Number: | |
NPI Enumeration Date: | 09/05/2012 |
NPI Last Update Date: | 09/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | 070323 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |