Broillet, Vincent J

Broillet, Vincent J is an individual health care provider with primary practice located at 4143 Richmond Ave , Staten Island NY 10312-5637. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Broillet, Vincent J can be contacted via phone (718) 966-5556.

Contact Information

Primary practice address
4143 Richmond Ave Staten Island NY 10312-5637
Phone: (718) 966-5556
Fax: (718) 966-7483
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 207872 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 207872 New York

Profile Details

NPI number 1811972177
LBN Legal business name Broillet, Vincent J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Sep 24th, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811972177 NPPES
New York MEDICAID 02109117

Popular Providers