Individual
RICHARD LAWRENCE BRONZO X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
192 EAST SHORE RD, GREAT NECK, NY 11023
(516) 466-5166
(516) 466-7828
Mailing address
192 EAST SHORE RD, GREAT NECK, NY 11023
(516) 466-5166
(516) 466-7828
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
131009
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4310165
AETNA
NY
01
—
47A741
EMPIRE BCBS
NY
01
—
AS1127
OXFORD
NY
Enumeration date
10/03/2006
Last updated
11/05/2009
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