Provider Demographics
NPI:1598000929
Name:RIGGS, BRONWYN (VMD)
Entity Type:Individual
Prefix:DR
First Name:BRONWYN
Middle Name:
Last Name:RIGGS
Suffix:
Gender:F
Credentials:VMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 E 62ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-8314
Mailing Address - Country:US
Mailing Address - Phone:212-329-8733
Mailing Address - Fax:
Practice Address - Street 1:510 E 62ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-8314
Practice Address - Country:US
Practice Address - Phone:212-329-8733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011557174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian