Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | 008223-1 | NY |
NPI | 1285763854 |
---|---|
Provider Name | Dr. Cheryl Victoria Bronner |
First Address | Brooklyn, NY 11215-1553 |
Second Address | Brooklyn, NY 11201-3973 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2007 |
Last Update Date | 08/07/2007 |