Provider Demographics
NPI:1497994792
Name:BRIGNONI-BLUME, PAULA ELISE (MD)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:ELISE
Last Name:BRIGNONI-BLUME
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:ELISE
Other - Last Name:BRIGNONI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2700 WESTCHESTER AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:PURCHASE
Mailing Address - State:NY
Mailing Address - Zip Code:10577-2547
Mailing Address - Country:US
Mailing Address - Phone:914-831-6830
Mailing Address - Fax:914-831-6831
Practice Address - Street 1:73 MARKET ST
Practice Address - Street 2:SUITE 212B
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-7602
Practice Address - Country:US
Practice Address - Phone:914-831-6830
Practice Address - Fax:914-831-6831
Is Sole Proprietor?:No
Enumeration Date:2009-02-10
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY255023207V00000X
CT052679207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400035265Medicare PIN