SUSAN W BRONER MD PC


Address: 800 2nd Ave Lbby 2, New York, NY 10017-4709
Phone: 2126164125

SUSAN W BRONER MD PC (NPI# 1730447806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730447806
Entity Type Organization
Organization Name SUSAN W BRONER MD PC
Practice Address 800 2nd Ave Lbby 2
New York
NY 10017-4709
Mailing Address 66 Greene St Apt 3
New York
NY 10012-4675
Practice Telephone 2126164125
Mailing Telephone 2129661838
Enumeration Date 2012-04-26
Last Update Date 2012-06-04
Authorized Official Name DR. SUSAN WILSON BRONER (MEDICAL DIRECTOR)
Authorized Official Telephone 2126164125
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
233633 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 800 2ND AVE LBBY 2
City NEW YORK
State NY
Zip Code 10017-4709

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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

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1427527472 Daniel Ahoubim Md PC Psychiatry & Neurology 37 W 26th St Rm 204, New York, NY 10010-1145 2018-11-20
1902344260 First Columbus Medical PC Psychiatry & Neurology 160 W 66th St Apt 22j, New York, NY 10023-6558 2017-02-07
1184073942 Rachel Joy Schindler Psychiatry & Neurology 325 E 79th St Apt 9e, New York, NY 10075-0983 2016-06-11
1487003505 Jina Park Psychiatry & Neurology 462 1st Ave Fl 7, New York, NY 10016-9196 2016-06-09
1043697709 Benjamin John Dorfman Psychiatry & Neurology 5 E 98th St # 1637, New York, NY 10029-6501 2015-05-01
1275928392 Kathryn Trinh Rimmer Psychiatry & Neurology 710 W 168th St Ste 2-212, New York, NY 10032-3726 2015-04-06
1013302819 Ling Pan Psychiatry & Neurology 530 1st Ave Ste 8s, New York, NY 10016-6402 2015-03-30
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Competitor

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City NEW YORK
Zip Code 10017

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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