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General NPI Number Information
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NPI Number | 1720204019
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Entity Type | Individual
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Provider Name | ROBERT L BROSTOWIN DC PC
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Gender | Male
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 11/25/2019
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Provider Practice Location Address
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Address Line | 3487 JERUSALEM AVE
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City | WANTAGH
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State | NY
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Zip | 11793-2000
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Country | US
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Telephone | 516-221-0900
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Fax | 516-221-0567
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Provider Business Mailing Address
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Address Line | 3487 JERUSALEM AVE
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City | WANTAGH
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State | NY
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Zip | 11793-2000
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Country | US
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Telephone | 718-261-6705
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Fax | 718-261-6707
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | X006335-1
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License Number State | NY
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