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Individual

DANIEL J BRODOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MOUNT KISCO MEDICAL GROUP PC, 90 SOUTH BEDFORD RD, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 242-1516
Mailing address
MOUNT KISCO MEDICAL GROUP PC, 90 SOUTH BEDFORD ROAD, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 242-1516

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
226023
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02319088
NY
01
0667910001
DME
NY
01
300133007
MEDICARE RAILROAD
NY
Enumeration date
05/17/2006
Last updated
11/19/2009
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