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Contact Information

VINCENT J BROILLET, MD
4143 RICHMOND AVE
STATEN ISLAND, NY10312-5637
 Phone: 718-966-5556
 Fax: 718-966-7483
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for VINCENT J BROILLET · (Male)

NPI # 1811972177
Status Active
Credentials MD
Entity Individual
Enumeration date 12/09/2005
Last updated 09/24/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 207872
  • NY Medicaid 02109117
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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