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Contact Information

BROADWAY DIAGNOSTIC MEDICINE PC
923 BROADWAY
WOODMERE, NY11598-1739
 Phone: 917-304-3316
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for BROADWAY DIAGNOSTIC MEDICINE PC · (Female)

NPI # 1528851581
Status Active
Credentials
Entity Individual
Enumeration date 05/23/2025
Last updated 05/23/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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