Individual
ERIKA BRODKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
165 MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC., OSSINING, NY 10562-4702
(914) 941-1263
(914) 941-0993
Mailing address
165 MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC., OSSINING, NY 10562-4702
(914) 941-1263
(914) 941-0993
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
050675-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02574023
—
NY
Enumeration date
12/14/2006
Last updated
01/12/2012
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