Brodsky, Paul K

Brodsky, Paul K is an individual health care provider with primary practice located at 200 W Carver St , Huntington NY 11743. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Brodsky, Paul K can be contacted via phone (631) 421-0020.

Contact Information

Primary practice address
200 W Carver St Huntington NY 11743
Phone: (631) 421-0020
Fax: (631) 421-5139
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 109654 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 109654 New York

Profile Details

NPI number 1669584512
LBN Legal business name Brodsky, Paul K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 24th, 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 1669584512 NPPES
Other 101922027 RAILROAD MEDICARE

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