Basic Information
| Provider Information | |||||||||
| NPI: | 1497994792 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BRIGNONI-BLUME | ||||||||
| FirstName: | PAULA | ||||||||
| MiddleName: | ELISE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | BRIGNONI | ||||||||
| OtherFirstName: | PAULA | ||||||||
| OtherMiddleName: | ELISE | ||||||||
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| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 2700 WESTCHESTER AVE | ||||||||
| Address2: | 2ND FLOOR | ||||||||
| City: | PURCHASE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105772547 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9148316830 | ||||||||
| FaxNumber: | 9148316831 | ||||||||
| Practice Location | |||||||||
| Address1: | 73 MARKET ST | ||||||||
| Address2: | SUITE 212B | ||||||||
| City: | YONKERS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 107107602 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9148316830 | ||||||||
| FaxNumber: | 9148316831 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/10/2009 | ||||||||
| LastUpdateDate: | 05/08/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207V00000X | 255023 | NY | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | 052679 | CT | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.