Individual
DR. BRIAN BRAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 E 61ST ST, NEW YORK, NY 10065-8183
(212) 734-7788
Mailing address
115 E 61ST ST, NEW YORK, NY 10065-8183
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
193580
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02107757
—
NY
01
—
48Z391
MEDICARE PROVIDER
—
Enumeration date
12/09/2005
Last updated
05/19/2025
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