Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 243222 | NY |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 25MA09215000 | NJ |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 25MA09215000 | NJ |
NPI | 1336261056 |
---|---|
Provider Name | Vito Anthony Brunetti |
First Address | Tarrytown, NY 10591-5139 |
Second Address | Wayne, NJ 07470-5043 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 01/04/2019 |