Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 25MA07459600 | NJ |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 25MA07459600 | NJ |
NPI | 1841239423 |
---|---|
Provider Name | Dr. Robin M Brody |
First Address | Tarrytown, NY 10591-5139 |
Second Address | Hackensack, NJ 07601-6319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 23/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H28267 | (02) | NY |