Provider Demographics
NPI:1497774921
Name:LABRUNA, ANTHONY NUNZIO (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:NUNZIO
Last Name:LABRUNA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 EAST 85TH STREET
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028
Mailing Address - Country:US
Mailing Address - Phone:212-584-7001
Mailing Address - Fax:212-517-6832
Practice Address - Street 1:45 EAST 85TH STREET
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028
Practice Address - Country:US
Practice Address - Phone:212-584-7001
Practice Address - Fax:212-517-6832
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY189343305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG27288Medicare UPIN
15K961Medicare UPIN