MEDICARE: DANNY BRONSHTEIN NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LG0600X	Gerontology Nurse Practitioner	308166	NY
2	363LA2200X	Adult Health Nurse Practitioner	308166	NY
3	363LP2300X	Primary Care Nurse Practitioner	308166	NY

General Provider Information

NPI Number	:	1417489188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANNY BRONSHTEIN NP

Provider Business Mailing Address
First Line	:	2792 OCEAN AVE FL 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4731
Country	:	US
Telephone Number	:	833-635-2566
Fax Number	:	833-635-2566

Provider Business Practice Location Address
First Line	:	2792 OCEAN AVE FL 2F
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4731
Country	:	US
Telephone Number	:	833-635-2566
Fax Number	:	833-635-2566

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2017
Last Update Date	:	12/02/2025

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