Organization
TWIN RIVERS GASTROENTEROLOGY, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HAROLD BRODY M.D. (OWNER)
(845) 856-4346
Entity
Organization
Contact information
Practice address
56 CHURCH ST # 58, PORT JERVIS, NY 12771-2017
(845) 856-4346
(845) 856-0587
Mailing address
56-58 CHURCH STREET, PORT JERVIS, NY 12771
(845) 856-4346
(845) 856-0587
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
137214
NY
Other
Enumeration date
03/26/2007
Last updated
01/31/2008
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