Individual provider · NPI-1
Joseph Brofsky, DMD
Dentist · Woodmere, NY
NPI number1255533659
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1255533659
- Entity type
- Individual (NPI-1)
- Name
- Joseph Brofsky
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 039092 | NY | Yes |
Practice location
932 BroadwayWoodmere, NY 11414
Phone 516-295-3733 · Fax 516-295-3733
Mailing address
932 BroadwayWoodmere, NY 11414
Phone 516-295-3733 · Fax 516-295-3178
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