Bracken, Donna
Bracken, Donna is an individual health care provider with primary practice located at 506 Malcolm X Blvd , New York NY 10037-1802. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Bracken, Donna can be contacted via phone (212) 939-1000.Contact Information
Primary practice address
506 Malcolm X Blvd
New York NY 10037-1802
Phone: (212) 939-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 280342 | New York |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 280342 | New York |
Profile Details
| NPI number | 1003108424 |
|---|---|
| LBN Legal business name | Bracken, Donna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2011 |
| Last updated | May 31st, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003108424 | NPPES |
| New York | MEDICAID | 04595997 |
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