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Contact Information

LISA D BRABHAM, MD
760 BROADWAY
WOODHULL MEDICAL & MENTAL HEALTH CENTER
BROOKLYN, NY11206
 Phone: 718-963-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for LISA D BRABHAM · (Female)

NPI Number 1063455293
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2006
Last updated 07/18/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 206007
  • NY Medicaid 01772898
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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