National Provider Identifier

Corrine Casal Brodman, MD

Corrine Casal Brodman, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 898-4221.

NPI 1073259289Buffalo, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1073259289
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
May 10, 2022
Last Updated
May 10, 2022

Practice Location

  • 462 Grider St
  • Buffalo, NY 14215-3021

Phone: (716) 898-4221

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1073259289
Entity Type
Individual
Last Name
Brodman
First Name
Corrine
Middle Name
Casal
Credential
MD
Provider Other Last Name
Casal
Provider Other First Name
Corrine
Provider Other Last Name Type Code
1
Mailing Street Address
462 Grider St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-3021
Mailing Country
US
Practice Street Address
462 Grider St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3021
Practice Country
US
Practice Phone
(716) 898-4221
Enumeration Date
May 10, 2022
Last Updated
May 10, 2022
Sex
Female
Sole Proprietor
No
Certification Date
May 10, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)