Individual
CINDY BROHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
356 W 18TH ST, NEW YORK, NY 10011-4401
(212) 271-7200
Mailing address
356 W 18TH ST, NEW YORK, NY 10011-4401
(212) 271-7200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F330930-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01943755
—
NY
Enumeration date
01/25/2007
Last updated
09/13/2013
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