Individual
BUDRY JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1469 E 101ST ST, BROOKLYN, NY 11236-5507
(646) 319-1012
Mailing address
1469 E 101ST ST, BROOKLYN, NY 11236-5507
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12519
NY
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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