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NPI Code Detail

MEDICARE: DR. DAVID JOSEPH BRONSTER MD

MEDICARE: DR. DAVID JOSEPH BRONSTER MD
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
12084N0400XNeurology Physician142696NY

General Provider Information

NPI Number : 1497815849
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID JOSEPH BRONSTER MD
Provider Business Mailing Address
First Line : 3 E 83RD ST
Second Line :
City : NEW YORK
State : NY
Zip : 10028-0459
Country : US
Telephone Number : 212-772-0008
Fax Number : 212-249-5328
Provider Business Practice Location Address
First Line : 3 E 83RD ST
Second Line :
City : NEW YORK
State : NY
Zip : 10028-0459
Country : US
Telephone Number : 212-772-0008
Fax Number : 212-249-5328
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2006
Last Update Date : 07/08/2007

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