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Individual

JOHN BROSNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
240 RIVERSIDE DR, JOHNSON CITY, NY 13790-2732
(607) 798-9356
(607) 797-1707
Mailing address
240 RIVERSIDE DR, JOHNSON CITY, NY 13790-2732
(607) 798-9356
(607) 797-1707

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
170214
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01552170
NY
Enumeration date
07/27/2006
Last updated
11/16/2012
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