Organization
MARYAM BROUKHIM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM BROUKHIM (OWNER)
(516) 487-3783
Entity
Organization
Contact information
Practice address
900 NORTHERN BLVD, GREAT NECK, NY 11021
(516) 487-3783
Mailing address
900 NORTHERN BLVD, GREAT NECK, NY 11021
(516) 487-3783
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/21/2010
Last updated
02/13/2018
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