Breth, Evan

Breth, Evan is an sole proprietor health care provider with primary practice located at 2352 Ralph Ave , Brooklyn NY 11234-5515. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Breth, Evan can be contacted via phone (718) 251-0200.

Contact Information

Primary practice address
2352 Ralph Ave Brooklyn NY 11234-5515
Phone: (718) 251-0200
Fax: (718) 209-5697
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X N005657 New York
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N005657 New York

Profile Details

NPI number 1023097052
LBN Legal business name Breth, Evan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2006
Last updated Nov 17th, 2008 - about 16 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 1023097052 NPPES
New York MEDICAID 02063578

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