Organization
DOUGLASTON ENDOSCOPY OBS PC
Active
Organization
DOUGLASTON ENDOSCOPY OBS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL MARTIN BRODSKY MD (MEDICAL DIRECTOR)
(718) 461-0163
Entity
Organization
Contact information
Practice address
24102 NORTHERN BLVD, DOUGLASTON, NY 11362-1061
(718) 461-0163
(718) 358-5570
Mailing address
24102 NORTHERN BLVD, DOUGLASTON, NY 11362-1061
(718) 461-0163
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
NY
Other
Enumeration date
12/03/2007
Last updated
02/25/2009
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