Healthcare Provider Details

I. General information

NPI: 1518019835
Provider Name (Legal Business Name): JOANNA DOBROSZYCKI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 PELHAM PKWY S
BRONX NY
10461-1138
US

IV. Provider business mailing address

230 RIVERSIDE DR APT 4N
NEW YORK NY
10025-6133
US

V. Phone/Fax

Practice location:
  • Phone: 718-918-3060
  • Fax: 718-918-4469
Mailing address:
  • Phone: 718-918-4667
  • Fax: 718-918-4699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number173483
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License Number173483
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: