Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keith R. Brunckhorst MD PC

Organization Specialist · NPI 1346293933

Keith R. Brunckhorst MD PC provides Specialist services in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

110 E 59th St Ste 9B
New York, NY 10022-1304
Phone: (212) 583-2858
Fax: (212) 407-3909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 137444 (NY)

Record details

NPI number1346293933
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Brunckhorst — President · (212) 583-2858
NPI enumeratedMay 18, 2006
Last updated in NPPESAugust 22, 2020
Mailing address110 E 59th St, Suite 9b, New York, NY 10022-1304

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