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JOEL BROCK M.D NPI 1104150283


NPI Information

NPI: 1104150283
Provider Name: JOEL BROCK, M.D
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
479 SLEIGHT AVE
STATEN ISLAND, NY
ZIP 10307
Phone: (718) 605-5225
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Joel Brock, M.D is a general practice in Staten Island, NY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Joel Brock, M.D NPI is 1104150283. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

479 SLEIGHT AVE
STATEN ISLAND, NY
ZIP 10307-942
Phone: (718) 605-5225
Fax: (718) 605-5225

The enumeration date for this NPI number is 9/23/2009 and was last updated on 9/23/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice119043NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.