Individual
DR. TED BREZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7959 MYRTLE AVE, GLENDALE, NY 11385-7451
(718) 418-3041
Mailing address
7959 MYRTLE AVE, GLENDALE, NY 11385-7451
(718) 418-3041
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
162847
NY
Other
Enumeration date
04/08/2006
Last updated
08/04/2010
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