Brody, Michael Lawrence

Brody, Michael Lawrence is an individual health care provider with primary practice located at 56340 Main Road , Southold NY 11971. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Brody, Michael Lawrence can be contacted via phone (631) 549-3668.

Contact Information

Primary practice address
56340 Main Road Southold NY 11971
Phone: (631) 549-3668
Fax: (631) 547-1423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X N004211 New York
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N004211 New York

Profile Details

NPI number 1770526774
LBN Legal business name Brody, Michael Lawrence
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Dec 4th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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