Provider Demographics
NPI:1124377114
Name:BRUNO, KARINA ANDREA (SOCIAL WORKER)
Entity Type:Individual
Prefix:
First Name:KARINA
Middle Name:ANDREA
Last Name:BRUNO
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 BELMONT BLVD
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-2245
Mailing Address - Country:US
Mailing Address - Phone:516-326-5570
Mailing Address - Fax:
Practice Address - Street 1:235 BELMONT BLVD
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-2245
Practice Address - Country:US
Practice Address - Phone:516-326-5570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0703231041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool