Healthcare Provider Details

I. General information

NPI: 1164098885
Provider Name (Legal Business Name): KAREN H. BRODY, MD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2021
Last Update Date: 06/28/2024
Certification Date: 06/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MONROE TPKE UNIT 3-4
MONROE CT
06468-2354
US

IV. Provider business mailing address

500 MONROE TPKE UNIT 3-4
MONROE CT
06468-2354
US

V. Phone/Fax

Practice location:
  • Phone: 203-586-1753
  • Fax: 203-586-1762
Mailing address:
  • Phone: 203-586-1753
  • Fax: 203-586-1762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KAREN H BRODY
Title or Position: OWNER
Credential: MD
Phone: 203-586-1753