Bronfman, Dmitriy

Bronfman, Dmitriy is an sole proprietor health care provider with primary practice located at 17 W End Ave , Brooklyn NY 11235-4812. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Bronfman, Dmitriy can be contacted via phone (718) 743-7877.

Contact Information

Primary practice address
17 W End Ave Brooklyn NY 11235-4812
Fax: (718) 743-4870
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 217823 New York
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 217823 New York

Profile Details

NPI number 1811060643
LBN Legal business name Bronfman, Dmitriy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811060643 NPPES
New York MEDICAID 02272080

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