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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 18 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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