Beth Shapiro Bromberg, MD
Individual provider Active NPI Ophthalmology Physician · Yorktown Heights, NY
NPI 1649378704 · NPPES record last updated May 5, 2008
Key facts
- NPI
- 1649378704
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 164082 (NY)
- Practice address
- 334 Underhill Avenue
Building #4 Suite B
Yorktown Heights, NY 10598 - Phone
- (914) 962-5054
- Fax
- (914) 962-8115
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth S. Bromberg, M.D., P.C. | Ophthalmology | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 164082 | NY | Yes |
Addresses
Primary practice location
334 Underhill Avenue
Building #4 Suite B
Yorktown Heights, NY 10598
Mailing address
334 Underhill Avenue
Building #4 Suite B
Yorktown Heights, NY 10598
Phone (914) 962-5054
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55019 | Other | OXFORD | |
| 1C7537 | Other | HEALTHNET |
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All providers in Yorktown Heights, NY · Ophthalmology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.