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Individual

DR. MARVIN BRODY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1560 BROADWAY, SUITE 601, NEW YORK, NY 10036-1537
(212) 278-8105
(212) 278-8297
Mailing address
1560 BROADWAY, SUITE 601, NEW YORK, NY 10036-1537
(212) 278-8105
(212) 278-8297

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
038184
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00899981
NY
Enumeration date
12/15/2006
Last updated
11/25/2014
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