Brodsky, Neil M.

Brodsky, Neil M. is an sole proprietor health care provider with primary practice located at 241-01 Northern Boulevard First Floor, Douglaston NY 11362-1061. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Brodsky, Neil M. can be contacted via phone (718) 461-0163.

Contact Information

Primary practice address
241-01 Northern Boulevard First Floor Douglaston NY 11362-1061
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 180013 New York

Profile Details

NPI number 1487667713
LBN Legal business name Brodsky, Neil M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Nov 9th, 2017 - about 8 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 1487667713 NPPES
New York MEDICAID 01584578

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