Paul Howard Broomfield
Gastroenterologist
375 E Main St Ste 21
Bay Shore
, New York 11706
Paul Howard Broomfield
Gastroenterologist
375 E Main St Ste 21
Bay Shore
, New York 11706
(631) 968-8268
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Paul Howard Broomfield
- 375 E Main St Ste 21
- Bay Shore, NY
- Zip : 11706
- Fax : (631) 968-8268
- Phone : (631) 968-8288
Second Address
- Paul Howard Broomfield
- 375 E Main St Ste 21
- Bay Shore, NY
- Zip : 11706
- Fax : (631) 968-8268
- Phone : (631) 968-8288
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 1777841 | NY |
National Provider Identifier
| NPI | 1043323462 |
|---|---|
| Provider Name | Paul Howard Broomfield |
| First Address | Bay Shore, NY 11706 |
| Second Address | Bay Shore, NY 11706 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2006 |
| Last Update Date | 16/02/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01133691 | (05) | NY |
| A49640 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.