# LUDMILLA BRONFIN MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285984062
- **Authorized official:** DR. LUDMILLA BRONFIN MD (MANAGER)
- **Authorized official phone:** (212) 532-6298

## Contact information

- **Practice address:** 650 FIRST AVENUE 7TH FLOOR, NEW YORK, NY 10016
- **Practice address phone:** (212) 532-6298
- **Practice address fax:** (212) 532-3308
- **Mailing address:** 650 FIRST AVENUE 7TH FLOOR, NEW YORK, NY 10016
- **Mailing address phone:** (212) 532-6298
- **Mailing address fax:** (212) 532-3308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 199889 | NY | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/19/2012
- **Last updated:** 12/28/2012
