Individual
MICHAEL L. BRODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 E 98TH ST, 2ND FLOOR BOX 1174, NEW YORK, NY 10029-6574
(212) 241-9393
(212) 241-3833
Mailing address
5 E 98TH ST, 2ND FLOOR, NEW YORK, NY 10029-6501
(212) 241-9393
(212) 241-3833
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
160731-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00953755
—
NY
Enumeration date
02/01/2006
Last updated
07/08/2007
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