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Individual

DR. BRANDON GODBOUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 E 77TH ST, LENOX HILL HOSPITAL, NEW YORK, NY 10075-1850
(212) 434-4078
Mailing address
2800 MARCUS AVE, LENOX HILL HOSPITAL, NEW HYDE PARK, NY 11042-1113

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
259433-1
NY

Other

Enumeration date
12/29/2008
Last updated
02/25/2016
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