Healthcare Provider Details

I. General information

NPI: 1861328486
Provider Name (Legal Business Name): JAVIER ZENON MARTIN BROTO MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 E 53RD ST
NEW YORK NY
10022
US

IV. Provider business mailing address

160 E 53RD ST
NEW YORK NY
10022
US

V. Phone/Fax

Practice location:
  • Phone: 134-779-8901
  • Fax:
Mailing address:
  • Phone: 134-779-8901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number342913-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: