Individual
GERARD BROGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
888 OLD COUNTRY RD, PLAINVIEW, NY 11803-4914
(800) 376-5566
Mailing address
PO BOX 30261, HARTFORD, CT 06150
(800) 376-5566
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
168170
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01278606
—
NY
Enumeration date
07/25/2006
Last updated
10/17/2007
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