Individual
KORY WILLIAM BROUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 PARK AVE, NEW YORK, NY 10016-5802
(212) 254-7722
(646) 548-8976
Mailing address
210 E 181ST ST APT 6M, BRONX, NY 10457-2149
(347) 255-9762
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
033032
NY
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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