Provider Demographics
NPI:1427285337
Name:BRONSTEIN, NANCY (DC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:BRONSTEIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 MAHAIWE ST
Mailing Address - Street 2:
Mailing Address - City:GREAT BARRINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01230-1901
Mailing Address - Country:US
Mailing Address - Phone:413-528-2948
Mailing Address - Fax:413-528-5404
Practice Address - Street 1:15 MAHAIWE ST
Practice Address - Street 2:
Practice Address - City:GREAT BARRINGTON
Practice Address - State:MA
Practice Address - Zip Code:01230-1901
Practice Address - Country:US
Practice Address - Phone:413-528-2948
Practice Address - Fax:413-528-5404
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-18
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1598111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition