MEDICARE: DR. HENRY BREJT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	154511	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225009715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HENRY BREJT M.D.

Provider Business Mailing Address
First Line	:	1440 E 21ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-5034
Country	:	US
Telephone Number	:	718-692-4193
Fax Number	:

Provider Business Practice Location Address
First Line	:	1353 45TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2102
Country	:	US
Telephone Number	:	718-435-0876
Fax Number	:	718-851-2608

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	03/02/2016

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