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Individual

DR. ROBERT L BROSTOWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC PC

Contact information

Practice address
3487 JERUSALEM AVE, WANTAGH, NY 11793-2000
(516) 221-0900
(516) 221-0567
Mailing address
3487 JERUSALEM AVE, WANTAGH, NY 11793-2000
(718) 261-6705
(718) 261-6707

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
X006335-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020614752
GHI
NY
01
3031202
AETNA
NY
01
4165432
CIGNA
NY
01
5G21
EMPIRE BC BS
NY
01
C006335-6
WORKER COMP.
NY
01
P2679219
OXFORD
NY
Enumeration date
04/17/2007
Last updated
11/25/2019
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