Individual
EDWARD JOHN BROCCOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16 S BEDFORD RD, 3W, CHAPPAQUA, NY 10514-3464
(914) 844-2864
Mailing address
16 S BEDFORD RD, 3W, CHAPPAQUA, NY 10514-3464
(914) 844-2864
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1934481
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
1934481
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004487677
AETNA US HEALTHCARE PPO
NY
01
—
3129240
AETNA US HEALTHCARE HMO
NY
01
—
5398369
HEALTH NET
NY
01
—
5398370
GHI
NY
01
—
8K819
EMPIRE BCBS
NY
01
—
P2823545
OXFORD
NY
Enumeration date
10/26/2005
Last updated
01/11/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us