Provider Demographics
NPI:1952537581
Name:BRUNEUS, MAGALIE (MD)
Entity Type:Individual
Prefix:DR
First Name:MAGALIE
Middle Name:
Last Name:BRUNEUS
Suffix:
Gender:F
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:DIVISION OF HOSPITAL MEDICINE, HOWARD BLDG H10-03
Mailing Address - Street 2:1275 YORK AVENUE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065
Mailing Address - Country:US
Mailing Address - Phone:212-639-2734
Mailing Address - Fax:212-717-1576
Practice Address - Street 1:1275 YORK AVE BLDG H10-03
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6007
Practice Address - Country:US
Practice Address - Phone:212-639-2734
Practice Address - Fax:212-717-1576
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-10
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267005207R00000X, 207RH0002X
FLME136504207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL100163100Medicaid
NY100163100Medicaid