Individual
MR. PHILIP BRODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
1017 47TH ST, BROOKLYN, NY 11219-2422
(718) 853-4107
Mailing address
1652 E 23RD ST, BROOKLYN, NY 11229-1519
(718) 692-1346
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
002705
NY
237600000X
Audiologist-Hearing Aid Fitter
Primary
000382
NY
Other
Enumeration date
12/20/2008
Last updated
12/31/2008
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