Individual
PAUL D BRODSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
17 LAURA LN, EAST SETAUKET, NY 11733-1821
(631) 255-6125
(631) 751-0751
Mailing address
17 LAURA LN, EAST SETAUKET, NY 11733-1821
(631) 255-6125
(631) 751-0751
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT0027774-1
NY
Other
Enumeration date
09/19/2005
Last updated
09/02/2010
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