Individual
DR. GERALD M BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
43 READ AVE, TUCKAHOE, NY 10707-3213
(914) 961-0482
Mailing address
43 READ AVE, TUCKAHOE, NY 10707-3213
(914) 961-0482
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
142154-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2131753
—
NY
Enumeration date
07/27/2006
Last updated
08/01/2007
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