Brazin, Stewart A

Brazin, Stewart A is an sole proprietor health care provider with primary practice located at 949 Central Ave Ste 102, Woodmere NY 11598-1204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Brazin, Stewart A can be contacted via phone (516) 825-8910.

Contact Information

Primary practice address
949 Central Ave Ste 102 Woodmere NY 11598-1204
Phone: (516) 825-8910
Fax: (516) 825-8911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 120299 New York
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 31181 Virginia

Profile Details

NPI number 1174590988
LBN Legal business name Brazin, Stewart A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2006
Last updated Oct 6th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174590988 NPPES
New York MEDICAID 00668355
New York Other 070002629
New York Other 0045165

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