1841370145 NPI number — DR. LUDMILLA BRONFIN MD

Table of content: DR. LUDMILLA BRONFIN MD (NPI 1841370145)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841370145 NPI number — DR. LUDMILLA BRONFIN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BRONFIN
Provider First Name:
LUDMILLA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841370145
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/25/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
251 E 33RD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10016-4804
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-532-6298
Provider Business Mailing Address Fax Number:
650-203-2601

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
650 FIRST AVENUE 7TH FLOOR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-532-6298
Provider Business Practice Location Address Fax Number:
212-532-3308
Provider Enumeration Date:
10/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084N0400X , with the licence number:  199889 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3099138 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0996407006 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 199889NY . This is a "1199" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5773646 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: OM1648 . This is a "HEALTH NET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1776890 . This is a "UNHC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 508N01 . This is a "EMPIRE BC BS" identifier . This identifiers is of the category "OTHER".
  • Identifier: P822851 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 32606P . This is a "HIP" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com