Broffman, Gregg

Broffman, Gregg is an individual health care provider with primary practice located at 120 Gardenville Pkwy , West Seneca NY 14224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Broffman, Gregg can be contacted via phone (716) 668-3600.

Contact Information

Primary practice address
120 Gardenville Pkwy West Seneca NY 14224
Phone: (716) 668-3600
Fax: (716) 565-4223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 131752 New York

Profile Details

NPI number 1366494973
LBN Legal business name Broffman, Gregg
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366494973 NPPES
New York Other 050216000044 FIDELIS
New York Other P00201738 FIDELIS
New York Other 10520422 FIDELIS
New York Other 159628DL FIDELIS
New York Other 000000089397 FIDELIS
New York Other 000500324010 FIDELIS
New York Other 050216000049 FIDELIS
New York Other 00010021101 FIDELIS
New York Other 10495518 FIDELIS

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