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Earl Barry Breeland, MD

Urology in Elmhurst, NY. Individual provider (NPI-1).

NPI number1932136306
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1932136306
Entity type
Individual (NPI-1)
Name
Earl Barry Breeland
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 28, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology156005NYYes

Practice location

79-01 Broadway
Room A1-9
Elmhurst, NY 11373-1329

Phone 718-334-4952 · Fax 718-334-4815

Mailing address

79-01 Broadway
Room A1-9
Elmhurst, NY 11373-1329

Phone 718-334-4952 · Fax 718-334-4815

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