Lisa D. Brabham MD

NPI 1063455293 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1063455293
Gender Female
Enumeration Date 06/14/2006
Last Updated 07/18/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
760 BROADWAY
WOODHULL MEDICAL & MENTAL HEALTH CENTER
BROOKLYN NY, 11206, US
Phone (718) 963-8000
Fax
Business Location
760 BROADWAY DEPARTMENT OF MANAGED CARE ROOM 2B230
WOODHULL MEDICAL & MENTAL HEALTH CENTER
BROOKLYN NY, 11206, US
Phone (718) 963-8000
Fax (718) 630-3122
Toxanomy
Taxonomy Code 207V00000X
License State New York
License Number 206007
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According to our database, Dr. Lisa D. Brabham MD NPI is 1063455293, taxonomy code is 207V00000X and license number is 206007, license state is located at New York. Lisa D. Brabham MD physically located at 760 Broadway, Brooklyn NY, 11206. NPI Number Lisa D. Brabham MD has the Individual type.

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1063455293 NPI number is provided on an as is basis without warranty of any kind. 1063455293 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa D. Brabham MD are for informational purposes only.