Individual
DR. STEWART A BRAZIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
949 CENTRAL AVE, STE 102, WOODMERE, NY 11598-1204
(516) 825-8910
(516) 825-8911
Mailing address
949 CENTRAL AVE, STE 102, WOODMERE, NY 11598-1204
(516) 825-8910
(516) 825-8911
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
120299
NY
207N00000X
Dermatology Physician
31181
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045165
GHI
NY
05
—
00668355
—
NY
01
—
070002629
RAILROAD MEDICARE
NY
Enumeration date
03/01/2006
Last updated
10/06/2011
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