Organization
MICHAEL S. BRODHERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BRODHERSON STEVEN BRODHERSON MD (SURGEON)
(917) 696-5912
Entity
Organization
Contact information
Practice address
4 E 76TH ST, NEW YORK, NY 10021-2676
(212) 794-2749
(212) 717-6130
Mailing address
4 E 76TH ST, NEW YORK, NY 10021-2676
(212) 794-2749
(212) 717-6130
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
120531
NY
Other
Enumeration date
04/01/2016
Last updated
08/26/2016
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