# BRIAN G. BRAZZO MD P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104053263
- **Authorized official:** BRIAN BRAZZO MD (OWNER)
- **Authorized official phone:** (212) 734-7788

## Contact information

- **Practice address:** 201 E 79TH ST, NEW YORK, NY 10075-0830
- **Practice address phone:** (917) 748-4542
- **Mailing address:** 201 E 79TH ST, NEW YORK, NY 10075-0830
- **Mailing address phone:** (917) 748-4542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2009
- **Last updated:** 06/16/2009