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Contact Information

MICHAEL L BRODY, DPM
56340 MAIN ROAD
SOUTHOLD, NY11971
 Phone: 631-549-3668
 Fax: 631-547-1423
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Sports Medicine

213ES0000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MICHAEL L BRODY · (Male)

NPI # 1770526774
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/14/2006
Last updated 12/04/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NY License # N004211
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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