| Warren D Bromberg, MD | |
|
110 S Bedford Rd, Care Mount Medical Pc, Mount Kisco, NY 10549-3446 | |
| (914) 241-1050 | |
| (914) 242-1516 |
| Full Name | Warren D Bromberg |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 110 S Bedford Rd, Mount Kisco, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548212251 | NPI | - | NPPES |
| 340011156 | Other | NY | MEDICARE RAILROAD |
| 0667910001 | Other | NY | DME |
| 01592052 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2088P0231X | Urology - Pediatric Urology | 164086 (New York) | Secondary |
| 208800000X | Urology | 164083 (New York) | Primary |
| Entity Name | Optum Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
| Mailing Address | Practice Location Address |
|---|---|
| Warren D Bromberg, MD 110 S Bedford Rd, Care Mount Medical Pc, Mount Kisco, NY 10549-3446 Ph: (914) 241-1050 | Warren D Bromberg, MD 110 S Bedford Rd, Care Mount Medical Pc, Mount Kisco, NY 10549-3446 Ph: (914) 241-1050 |
Alexandra Gavalo-yacco, FNP-BC Urology Medicare: Accepting Medicare Assignments Practice Location: 100 S Bedford Rd, Mount Kisco, NY 10549 Phone: 914-242-1520 | |
Mark Nogueira, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 90 S Bedford Rd, Mount Kisco, NY 10549 Phone: 914-241-1050 | |
Dr. Benjamin A Spencer, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 90 S Bedford Rd, Caremount Medical Pc, Mount Kisco, NY 10549 Phone: 914-241-1050 Fax: 914-242-1521 |