STEWART BRODY DDS NPI 1609154806

NPI Information

NPI: 1609154806
Provider Name: STEWART BRODY DDS
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
17 MAPLE DR
GREAT NECK, NY
ZIP 11021
Phone: (516) 482-2215
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STEWART BRODY DDS is a dental clinic center in Great Neck, NY. STEWART BRODY DDS NPI is 1609154806. The provider is registered as an organization entity type.

The provider's business location address is:

17 MAPLE DR
GREAT NECK, NY
ZIP 11021-000
Phone: (516) 482-2215
Fax: (516) 482-5410

The provider's authorized official is Stewart Brody .
The authorized official title is Dentist and has the following contact phone number (516) 482-2215.

The enumeration date for this NPI number is 7/22/2011 and was last updated on 12/2/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	040136	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6575710001	MEDICARE NSC	NEW YORK

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: 5/5/2024

NPI Synchronization or Removal

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