Karla Brantuk in Riverhead - Physician Assistant
Karla Brantuk - NPI 1255389250
Karla Brantuk is a Physician Assistant in Riverhead, New York. Karla Brantuk practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Karla Brantuk is 1255389250. The last update date is 2017-02-07.
Karla Brantuk's current location address is 951 Roanoke Ave, Riverhead, New York. You can contact this provider via phone number 6313695005 and fax number 6313694994. The mailing address for Karla Brantuk is 951 Roanoke Ave, Riverhead, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Karla Brantuk |
|---|---|
| Address | 951 Roanoke Ave, Riverhead, New York |
| Phone Number | 6313695005 |
| Fax Number | 6313694994 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1255389250 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2017-02-07 |
Provider Mailing Address Detail
| Address | 951 Roanoke Ave |
|---|---|
| City | Riverhead |
| State | New York (NY) |
| Post Code | 119012724 |
| Phone Number | 6313695005 |
| Fax Number | 6313694994 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9559 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2517375 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Karla Brantuk by the Centers for Medicare & Medicaid Services?
The Karla Brantuk has been issued the NPI (National Provider Identifier) 1255389250 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Karla Brantuk is located?
The Karla Brantuk is situated at the following address: 951 Roanoke Ave, Riverhead, NY, 119012724.
What is Karla Brantuk's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Karla Brantuk is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255389250 to Karla Brantuk?
The Centers for Medicare & Medicaid Services originally issued the 1255389250 to Karla Brantuk on 2006-05-04.
As of what date was the information pertaining to Karla Brantuk, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Karla Brantuk, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-02-07.