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Individual

DR. JEFFREY S BROOKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
70 HATFIELD LN, STE 204, GOSHEN, NY 10924-6735
(914) 456-7599
(845) 294-2312
Mailing address
70 HATFIELD LN, STE 204, GOSHEN, NY 10924-6735
(914) 456-7599
(845) 294-2312

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
10169
ND
207RG0100X
Gastroenterology Physician
Primary
147287
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00915242
NY
Enumeration date
06/30/2005
Last updated
11/17/2008
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