Broner, Susan W.

Broner, Susan W. is an sole proprietor health care provider with primary practice located at 520 E 70Th St # 607 , New York NY 10021-9800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Broner, Susan W. can be contacted via phone (212) 746-1162.

Contact Information

Primary practice address
520 E 70Th St # 607 New York NY 10021-9800
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 233633 New York

Profile Details

NPI number 1306823901
LBN Legal business name Broner, Susan W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2005
Last updated Jul 9th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306823901 NPPES
New York MEDICAID 02679761

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