Brody, Paul E

Brody, Paul E is an sole proprietor health care provider with primary practice located at 73-05 Metropolitan Ave , Middle Village NY 11379. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Brody, Paul E can be contacted via phone (718) 894-5888.

Contact Information

Primary practice address
73-05 Metropolitan Ave Middle Village NY 11379
Phone: (718) 894-5888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 143755 New York
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 143755 New York

Profile Details

NPI number 1548477029
LBN Legal business name Brody, Paul E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated Dec 9th, 2013 - about 11 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 1548477029 NPPES
New York Other 53578 MEDICARE PTAN

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