Individual
DMITRI BRONOVITSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3050 WHITE PLAINS RD, 2ND FLOOR, BRONX, NY 10467-8124
(718) 944-7037
(718) 944-7091
Mailing address
349 E 104TH ST, APT #7, NEW YORK, NY 10029-5522
(212) 987-8787
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
250737
NY
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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