Individual
WARREN D BROMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 S BEDFORD RD, CARE MOUNT MEDICAL PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 242-1516
Mailing address
110 S BEDFORD RD, CARE MOUNT MEDICAL PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 242-1516
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
164083
NY
2088P0231X
Pediatric Urology Physician
164086
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01592052
—
NY
01
—
0667910001
DME
NY
01
—
340011156
MEDICARE RAILROAD
NY
Enumeration date
05/17/2006
Last updated
01/29/2019
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