Provider Demographics
NPI:1477080174
Name:BROMFIELD, PAULET CHRISTINE
Entity Type:Individual
Prefix:MS
First Name:PAULET
Middle Name:CHRISTINE
Last Name:BROMFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:PAULET
Other - Middle Name:CHRISTINE
Other - Last Name:BROMFIELD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:282 EAST 35TH STREET
Mailing Address - Street 2:APT 7S
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-3931
Mailing Address - Country:US
Mailing Address - Phone:646-808-7021
Mailing Address - Fax:
Practice Address - Street 1:1001 E 45TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-6511
Practice Address - Country:US
Practice Address - Phone:718-693-3426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist