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NPI Code Detail

MEDICARE: DAHLIA SERED BROMBERG

MEDICARE: DAHLIA SERED BROMBERG
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1942136163
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAHLIA SERED BROMBERG
Provider Business Mailing Address
First Line : 6838 YELLOWSTONE BLVD APT A41
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-3420
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 N BROADWAY STE 704
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10601-2320
Country : US
Telephone Number : 914-385-1150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2026
Last Update Date : 06/23/2026

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Directions to “ DAHLIA SERED BROMBERG ” Practice Location

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