Provider Demographics
NPI:1851817969
Name:BRUNO, KAREN (MRI TECHNOLOGIST)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:BRUNO
Suffix:
Gender:F
Credentials:MRI TECHNOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:91 SUNSET CT
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-1645
Mailing Address - Country:US
Mailing Address - Phone:716-866-0121
Mailing Address - Fax:
Practice Address - Street 1:91 SUNSET CT
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-1645
Practice Address - Country:US
Practice Address - Phone:716-866-0121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-21
Last Update Date:2017-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1652292471M1202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance Imaging