# SOUTH BROOKLYN MEDICAL PRACTICE, PC

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

## Provider details

- **NPI number:** 1720301989
- **Authorized official:** DR. DMITRIY BRONFMAN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (718) 743-7877

## Contact information

- **Practice address:** 3047 BRIGHTON 6TH ST, SUITE 2, BROOKLYN, NY 11235-6409
- **Practice address phone:** (718) 743-7877
- **Practice address fax:** (718) 743-4870
- **Mailing address:** 3047 BRIGHTON 6TH ST, SUITE 2, BROOKLYN, NY 11235-6409
- **Mailing address phone:** (718) 743-7877
- **Mailing address fax:** (718) 743-4870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2010
- **Last updated:** 03/02/2010