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Contact Information

PAUL E BRODY, MD
73-05 METROPOLITAN AVE
MIDDLE VILLAGE, NY11379
 Phone: 718-894-5888
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for PAUL E BRODY · (Male)

NPI Number 1548477029
Status Active
Credentials MD
Entity Individual
Enumeration date 05/16/2007
Last updated 12/09/2013 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 143755
  • NY Other 53578 MEDICARE PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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