Individual
MARGARET BROMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
25 E MAIN ST, SPRINGVILLE, NY 14141-1244
(716) 592-2832
(716) 592-4452
Mailing address
25 E MAIN ST, SPRINGVILLE, NY 14141-1244
(716) 592-2832
(716) 592-4452
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380474
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020023903
UNIVERA
NY
01
—
000560135006
BC/BS
NY
05
—
01963482
—
NY
01
—
9512073
IHA
NY
Enumeration date
10/06/2005
Last updated
11/21/2011
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