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Contact Information

GLENN A BROTTMAN MD PC
119 WEST 57TH STREET
SUITE 1101
NEW YORK, NY10019
 Phone: 212-969-1899
 Fax: 212-969-1898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GLENN A BROTTMAN MD PC

NPI Number 1104076165
LBN Legal business name GLENN A BROTTMAN MD PC
Authorized official GLENN BROTTMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/26/2008
Last updated 03/04/2009 - About 17 years ago
Identifiers
NY License # 240287
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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