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Organization
BRIAN G BRAZZO MD PC
Active
Organization
BRIAN G BRAZZO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BRAZZO MD (OWNER)
(212) 734-7788
Entity
Organization
Contact information
Practice address
115 E 61ST ST, NEW YORK, NY 10065-8183
(212) 734-7788
Mailing address
115 E 61ST ST, NEW YORK, NY 10065-8183
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02107757
—
NY
Enumeration date
01/16/2014
Last updated
07/17/2014
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