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General NPI Number Information
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NPI Number | 1235331893
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Entity Type | Organization
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Legal Business Name | DR. CAROLYN BROMLEY
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 19 W 34TH ST PENTHOUSE
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City | NEW YORK
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State | NY
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Zip | 10001-3006
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Country | US
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Telephone | 917-763-0328
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Fax |
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Provider Business Mailing Address
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Address Line | 175 E 96TH ST APT. 27G
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City | NEW YORK
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State | NY
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Zip | 10128-6200
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Country | US
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Telephone | 917-763-0328
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. CAROLYN BROMLEY
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Credential | PH.D.
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Telephone | 917-763-0328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 0145161
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License Number State | NY
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