Provider Demographics
NPI:1811008808
Name:BRUNI, COLETTE (DO)
Entity Type:Individual
Prefix:
First Name:COLETTE
Middle Name:
Last Name:BRUNI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:COLETTE
Other - Middle Name:
Other - Last Name:BRUNI-COFINI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:260 E 188TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-5302
Mailing Address - Country:US
Mailing Address - Phone:718-960-3165
Mailing Address - Fax:718-960-3002
Practice Address - Street 1:260 E 188TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-5302
Practice Address - Country:US
Practice Address - Phone:718-960-3165
Practice Address - Fax:718-960-3002
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2012012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry