Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 044501 | CT |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 224652 | NY |
NPI | 1154375525 |
---|---|
Provider Name | Dr. Adam Brodsky |
First Address | New Canaan, CT 06840-4828 |
Second Address | New Canaan, CT 06840-4828 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2006 |
Last Update Date | 24/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I37206 | (02) |