NPI | 1689330342 |
---|---|
Other Name | MICHELLE MALKIE BRUNNER, M.D. |
Entity Type | Organization |
Authorized Contact | MICHELLE MALKIE BRUNNER President 516-987-9837 |
Organization Subpart ? | No |
Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
Enumeration Date | 2021-11-16 |
Last Update Date | 2021-11-16 |