Individual
DR. DAVID A BROGNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 ROUTE 59, SUITE 302, SUFFERN, NY 10901-5204
(845) 368-0100
(845) 368-1916
Mailing address
26 INDIAN ROCK, SUFFERN, NY 10901-4907
(845) 368-0100
(845) 368-1916
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
160631
NY
207RI0011X
Interventional Cardiology Physician
Primary
160631
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01008222
—
NY
Enumeration date
07/24/2006
Last updated
12/13/2024
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