Brodsky, Ella

Brodsky, Ella is an individual health care provider with primary practice located at 8045 Winchester Blvd , Queens Village NY 11427-2193. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Brodsky, Ella can be contacted via phone (718) 464-7500.

Contact Information

Primary practice address
8045 Winchester Blvd Queens Village NY 11427-2193
Phone: (718) 464-7500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 208397 New York

Profile Details

NPI number 1093830903
LBN Legal business name Brodsky, Ella
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jul 8th, 2007 - about 17 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 1093830903 NPPES
New York MEDICAID 208397

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