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NPI Code Detail

MEDICARE: DR. RICHARD BRODSKY D.C.

MEDICARE: DR. RICHARD BRODSKY D.C.
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
1111N00000XChiropractorX008926NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P2630971OTHEROXFORD
25898018OTHERGHI

General Provider Information

NPI Number : 1346264843
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD BRODSKY D.C.
Provider Business Mailing Address
First Line : 88 ASHFORD AVE
Second Line :
City : DOBBS FERRY
State : NY
Zip : 10522-1812
Country : US
Telephone Number : 914-646-9321
Fax Number :
Provider Business Practice Location Address
First Line : 88 ASHFORD AVE
Second Line :
City : DOBBS FERRY
State : NY
Zip : 10522-1812
Country : US
Telephone Number : 914-646-9321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 10/11/2012

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