# JEROME S. BRESLAW, M.D.,P.C.

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

## Provider details

- **NPI number:** 1467645663
- **Authorized official:** JEROME S BRESLAW M.D. (PRESIDENT)
- **Authorized official phone:** (212) 628-5700

## Contact information

- **Practice address:** 235 E 67TH ST, 202, NEW YORK, NY 10065-6040
- **Practice address phone:** (212) 628-5700
- **Practice address fax:** (212) 650-9964
- **Mailing address:** 235 E 67TH ST, 202, NEW YORK, NY 10065-6040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 098889 | NY | Yes |

## Other

- **Enumeration date:** 08/21/2007
- **Last updated:** 03/27/2008