Susan W Broner MD PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

233633 Issued in NY

Legal business name

SUSAN W BRONER MD PC

Practice address

800 2ND Ave Lbby 2
New York, NY 10017-4709

Phone

(212) 616-4125

NPI assigned

Apr 26, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Susan Wilson Broner, M.D.

Title

Medical Director

Phone

(212) 616-4125

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1730447806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 GREENE ST APT 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100124675",
            "telephone_number": "212-966-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 2ND AVE LBBY 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174709",
            "telephone_number": "212-616-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN W BRONER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "BRONER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-616-4125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "233633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lucak MD PC
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• Susan Marshall, MD PC
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• Valeria Susanina
• Susannah Jacobi, PH.D., P.C.
• Andrew D Suseno, P.T.
• Susie Chung MD PC

• Neurology Physician in New York, NY
• Providers in New York, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.