Brodkin, Erika
Brodkin, Erika is an individual health care provider with primary practice located at 165 Main St Open Door Family Medical Centers, Inc., Ossining NY 10562-4702. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Brodkin, Erika can be contacted via phone (914) 941-1263.Contact Information
Primary practice address
165 Main St Open Door Family Medical Centers, Inc.
Ossining NY 10562-4702
Phone: (914) 941-1263
Fax: (914) 941-0993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 050675-1 | New York |
Profile Details
| NPI number | 1417019845 |
|---|---|
| LBN Legal business name | Brodkin, Erika |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Jan 12th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417019845 | NPPES |
| New York | MEDICAID | 02574023 |
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