Individual
DR. MICHAEL LAWRENCE BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
56340 MAIN ROAD, SOUTHOLD, NY 11971
(631) 549-3668
(631) 547-1423
Mailing address
6 EDSCHO LN, COMMACK, NY 11725-4806
(631) 549-3668
(631) 547-1423
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004211
NY
213ES0000X
Sports Medicine Podiatrist
N004211
NY
Other
Enumeration date
06/14/2006
Last updated
12/04/2019
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