Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 60-202597 | NY |
NPI | 1497869184 |
---|---|
Provider Name | Peter R Brzechffa |
First Address | Brooklyn, NY 11215-3609 |
Second Address | Brooklyn, NY 11215-3609 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0203978 | GHI (01) | NY |
734C2 | BCBS (01) | NY |
G15085 | (02) | NY |
N87602 | HEALTHNET (01) | NY |
P3342508 | OXFORD (01) | NY |