Individual
DR. BRAZ BORTOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8728 SANTIAGO ST, HOLLIS, NY 11423-1120
(718) 740-0395
Mailing address
8728 SANTIAGO ST, HOLLIS, NY 11423-1120
(718) 740-0395
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
115972
NY
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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