Provider Demographics
NPI:1679918981
Name:BRONSTER, BARBARA (RN)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:BRONSTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 W CORTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-4007
Mailing Address - Country:US
Mailing Address - Phone:516-984-3011
Mailing Address - Fax:516-536-1369
Practice Address - Street 1:59 W CORTLAND AVE
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-4007
Practice Address - Country:US
Practice Address - Phone:516-984-3011
Practice Address - Fax:516-536-1369
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY274534163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse