| David Brody, Md, Pllc | |
|
1841 Broadway Suite 1009 New York NY 10023-7603 | |
| (212) 245-1331 | |
| (212) 245-1533 |
| Full Name | David Brody, Md, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1841 Broadway, New York, New York |
| Authorized Official Name and Position | David William Brody (OWNER) |
| Authorized Official Contact | 2122451331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Brody, Md, Pllc Po Box 21405 Seattle WA 98111-3405 Ph: (206) 774-0532 | David Brody, Md, Pllc 1841 Broadway Suite 1009 New York NY 10023-7603 Ph: (212) 245-1331 |
| NPI Number | 1386967909 |
|---|---|
| Provider Enumeration Date | 03/10/2010 |
| Last Update Date | 03/10/2010 |
| Medicare PECOS PAC ID | 9537291620 |
|---|---|
| Medicare Enrollment ID | O20100726000567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386967909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 151773 (New York) | Primary |
| Provider Name | David Brody |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1003850751 PECOS PAC ID: 0840275376 Enrollment ID: I20040621000272 |
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