Bronson, Richard
Bronson, Richard is an individual health care provider with primary practice located at 6 Technology Dr , East Setauket NY 11733-4047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Bronson, Richard can be contacted via phone (631) 444-4686.Contact Information
Primary practice address
6 Technology Dr
East Setauket NY 11733-4047
Phone: (631) 444-4686
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | 099671 | New York |
Profile Details
| NPI number | 1649207820 |
|---|---|
| LBN Legal business name | Bronson, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Apr 19th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649207820 | NPPES |
| New York | MEDICAID | 01091625 | |
| New York | Other | 4466261 | |
| New York | Other | 339513 |
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