Provider Demographics
NPI:1043293160
Name:BRUNEAU, PIERRE ANDRE (MD)
Entity Type:Individual
Prefix:DR
First Name:PIERRE
Middle Name:ANDRE
Last Name:BRUNEAU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:110 S BEDFORD RD
Mailing Address - Street 2:CAREMOUNT MEDICAL PC
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3446
Mailing Address - Country:US
Mailing Address - Phone:914-241-1050
Mailing Address - Fax:914-242-1516
Practice Address - Street 1:182 RTE 312
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-2238
Practice Address - Country:US
Practice Address - Phone:845-278-7000
Practice Address - Fax:845-278-2212
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2016-11-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY245411207X00000X, 207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04115871Medicaid
NY04115871Medicaid