# BRIAN G BRAZZO MD PC

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

## Provider details

- **NPI number:** 1780006312
- **Authorized official:** BRIAN BRAZZO MD (OWNER)
- **Authorized official phone:** (212) 734-7788

## Contact information

- **Practice address:** 115 E 61ST ST, NEW YORK, NY 10065-8183
- **Practice address phone:** (212) 734-7788
- **Mailing address:** 115 E 61ST ST, NEW YORK, NY 10065-8183

## Taxonomy

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

## Other

- **Enumeration date:** 01/16/2014
- **Last updated:** 07/17/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02107757 | — | NY |