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Individual

MR. ELAZAR BRONSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
257 B.17TH ST., FAR ROCKAWAY, NY 11691
(718) 868-2300
Mailing address
1144 NEILSON ST APT 2A, FAR ROCKAWAY, NY 11691-4720

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/30/2012
Last updated
10/30/2012
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