Broome Surgery & Breast Care, P.C. in Johnson City - Specialist
Broome Surgery & Breast Care, P.C. - NPI 1790960839
Broome Surgery & Breast Care, P.C. is a Specialist in Johnson City, New York. Broome Surgery & Breast Care, P.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Broome Surgery & Breast Care, P.C. is 1790960839. The last update date is 2008-02-07.
Broome Surgery & Breast Care, P.C.'s current location address is 240 Riverside Dr, Johnson City, New York. You can contact this provider via phone number 6077290443 and fax number 6077669395. The mailing address for Broome Surgery & Breast Care, P.C. is 240 Riverside Dr, Johnson City, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broome Surgery & Breast Care, P.C. |
|---|---|
| Address | 240 Riverside Dr, Johnson City, New York |
| Phone Number | 6077290443 |
| Fax Number | 6077669395 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mangouri Ghassem |
| Credentials | M.D. |
| Telephone Number | 6077290443 |
NPI Number Detail
| NPI Number | 1790960839 |
|---|---|
| Provider Enumeration Date | 2008-01-08 |
| Last Updated Date | 2008-02-07 |
Provider Mailing Address Detail
| Address | 240 Riverside Dr |
|---|---|
| City | Johnson City |
| State | New York (NY) |
| Post Code | 137902732 |
| Phone Number | 6077290443 |
| Fax Number | 6077669395 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 154223 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 775599 | NY | -- |
Post Comment/ Review Below
What is the Broome Surgery & Breast Care, P.C.'s 1790960839?
The Broome Surgery & Breast Care, P.C.'s NPI (National Provider Identifier) Number is 1790960839. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Broome Surgery & Breast Care, P.C.?
The Broome Surgery & Breast Care, P.C. is physically situated at 240 Riverside Dr, in the city of Johnson City, state of NY, with the postal code 137902732.
What is the area of specialization for Broome Surgery & Breast Care, P.C., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Broome Surgery & Breast Care, P.C. is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
When was the Broome Surgery & Breast Care, P.C.'s 1790960839 issued?
The Broome Surgery & Breast Care, P.C.'s 1790960839 was issued on 2008-01-08.
When was the information related to Broome Surgery & Breast Care, P.C. most recently updated or refreshed?
The details pertaining to the Broome Surgery & Breast Care, P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-07.