Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N005437 | NY |
NPI | 1255464707 |
---|---|
Provider Name | Dr. Frederick R Brookman |
First Address | New York, NY 10022-2441 |
Second Address | New York, NY 10003-2409 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 02/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
N005437 | (02) | NY |