Individual provider · Type 1 NPI
Bronwyn Gorgone
Women's Health Nurse Practitioner · Coram, NY
NPI number
1669846655
Active
Practice location
655 Middle Country Rd Apt 1E1
Coram, NY 11727-3337
Mailing address
5 Orchard St
Middletown, NY 10940-5098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 705261 (NY) |
| Women's Health Nurse Practitioner Primary | 363LW0102X | F421511 (NY) |
Women's Health Nurse Practitioner: Definition to come...
About NPI 1669846655
Bronwyn Gorgone's National Provider Identifier is 1669846655, issued on Nov 14, 2015. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Coram, NY. The record was last updated on Oct 13, 2021.