Broussard, Andre Edmond
Broussard, Andre Edmond is an sole proprietor health care provider with primary practice located at 1901 First Ave 523, New York NY 10029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Broussard, Andre Edmond can be contacted via phone (212) 423-6228.Contact Information
Primary practice address
1901 First Ave 523
New York NY 10029
Phone: (212) 423-6228
Fax: (212) 534-7831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 2080S0010X | MD126425 | New York |
Profile Details
| NPI number | 1710069695 |
|---|---|
| LBN Legal business name | Broussard, Andre Edmond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Nov 29th, 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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