Individual
DR. PETER T BRONSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
1108 VESTAL PKWY E, VESTAL, NY 13850-1750
(607) 748-2500
(607) 748-7245
Mailing address
1108 VESTAL PKWY E, VESTAL, NY 13850-1750
(607) 748-2500
(607) 748-7245
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
039567-6
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01025176
—
NY
Enumeration date
08/30/2006
Last updated
07/09/2007
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