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Contact Information

ANDRE E BROUSSARD, MD
1901 FIRST AVE
523
NEW YORK, NY10029
 Phone: 212-423-6228
 Fax: 212-534-7831
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ANDRE E BROUSSARD · (Male)

NPI # 1710069695
Status Active
Credentials MD
Entity Individual
Enumeration date 10/19/2006
Last updated 11/29/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # MD126425
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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