Broscius, Michael B

Broscius, Michael B is an individual health care provider with primary practice located at 521 W 57Th St , New York NY 10019-2929. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Broscius, Michael B can be contacted via phone (212) 314-8698.

Contact Information

Primary practice address
521 W 57Th St New York NY 10019-2929
Fax: (212) 485-0777
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 241317 New York

Profile Details

NPI number 1275596835
LBN Legal business name Broscius, Michael B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Sep 10th, 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 1275596835 NPPES
Pennsylvania Other 531788 BS
Pennsylvania MEDICAID 0014957900003 BS

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