Provider Demographics
NPI:1598849945
Name:BROFT, ALLEGRA IVANA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLEGRA
Middle Name:IVANA
Last Name:BROFT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:241 CENTRAL PARK W APT 1B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-4544
Mailing Address - Country:US
Mailing Address - Phone:212-874-2122
Mailing Address - Fax:212-874-2124
Practice Address - Street 1:241 CENTRAL PARK W APT 1B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-4544
Practice Address - Country:US
Practice Address - Phone:212-874-2122
Practice Address - Fax:212-874-2124
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2268072084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry