Provider Demographics
NPI:1669417796
Name:BRUDNEY, KAREN FLORENCE (MD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:FLORENCE
Last Name:BRUDNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:125 WORTH ST
Mailing Address - Street 2:BOX 22 RM 901 NYCDOHMH DIVISION OF DISEASE CONTROL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4006
Mailing Address - Country:US
Mailing Address - Phone:212-442-8468
Mailing Address - Fax:212-442-8452
Practice Address - Street 1:600 WEST 168TH STREET
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-368-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY153181207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
E17461Medicare UPIN
22F092Medicare ID - Type UnspecifiedEMPIRE
NY01056ADMedicare ID - Type UnspecifiedGHI
NY010JGAEMedicare ID - Type UnspecifiedGHI