Broumand, Stafford R

Broumand, Stafford R is an sole proprietor health care provider with primary practice located at 75 East 71Street , New York City NY 10021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Broumand, Stafford R can be contacted via phone (212) 879-7900.

Contact Information

Primary practice address
75 East 71Street New York City NY 10021
Phone: (212) 879-7900
Fax: (718) 672-4251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 166718-1 New York

Profile Details

NPI number 1548313828
LBN Legal business name Broumand, Stafford R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Nov 22nd, 2011 - about 15 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 1548313828 NPPES
New York Other 0100923 GHI
New York Other N37868 GHI
New York Other P3806444 GHI

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