National Provider Identifier

Breanna Claire Brodsky

Breanna Claire Brodsky is listed in the NPPES registry with a primary specialty of Specialist in Grand Island, NY and a listed phone number of (716) 297-0798.

NPI 1699229427Grand Island, NYSpecialist

Profile Overview

NPI
1699229427
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
August 10, 2016
Last Updated
August 10, 2016

Practice Location

  • 56 Marilyn Dr
  • Grand Island, NY 14072-2632

Phone: (716) 297-0798

Specialties

  • Specialist (174400000X)
Full Record
NPI
1699229427
Entity Type
Individual
Last Name
Brodsky
First Name
Breanna
Middle Name
Claire
Mailing Street Address
56 Marilyn Dr
Mailing City
Grand Island
Mailing State
NY
Mailing ZIP Code
14072-2632
Mailing Country
US
Mailing Phone
(716) 297-0798
Mailing Fax
(716) 297-0998
Practice Street Address
56 Marilyn Dr
Practice City
Grand Island
Practice State
NY
Practice ZIP Code
14072-2632
Practice Country
US
Practice Phone
(716) 297-0798
Practice Fax
(716) 297-0998
Enumeration Date
August 10, 2016
Last Updated
August 10, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)
Other Identifiers
1402313 (NY, New York State License)