Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0900X | Dermatopathologist | 087998 | NY |
NPI | 1386646693 |
---|---|
Provider Name | Martin H Brownstein |
First Address | Port Washington, NY 11050-3443 |
Second Address | Port Washington, NY 11050-3443 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C06352 | (02) | NY |