ALLEN BROTZ


Address: 400 Avenue X, Brooklyn, NY 11223
Phone: 7183766500

ALLEN BROTZ (NPI# 1093817330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093817330
Entity Type Individual
Full Name ALLEN BROTZ
Credential RPAC
Practice Address 400 Avenue X
Brooklyn
NY 11223
Practice Telephone 7183766500
Practice Fax Number 7183766500
Mailing Telephone 7183766500
Mailing Fax Number 7183765078
Enumeration Date 2006-09-05
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
000898 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 400 AVENUE X
City BROOKLYN
State NY
Zip Code 11223

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518070028 Avex Medical Management PC Occupational Therapy Assistant 400 Avenue X, Brooklyn, NY 11223 2006-08-17
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1609969914 Eddy Leveque Physical Medicine & Rehabilitation 400 Avenue X, Brooklyn, NY 11223 2006-10-02
1053415661 Avenue X Primary Medical Care P.C. Clinic/Center 400 Avenue X, Brooklyn, NY 11223 2006-09-12
1679677280 Avex Medical Testing Corp Clinic/Center 400 Avenue X, Brooklyn, NY 11223 2006-09-12

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1669990149 Avraham Chaim Knobel Social Worker 2020 Coney Island Avenue, Brooklyn, NY 11223 2017-09-05
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1790223840 Roshauna Joseph Licensed Practical Nurse 2326 West 8th Street, Brooklyn, NY 11223 2017-02-09
1942747142 Ace Management Am Corp Case Management 2375 East 3rd Street Brooklyn, 1a, Brooklyn, NY 11223 2017-01-25
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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1982156816 Chad Smartt Physician Assistant 988 E 39th St, Brooklyn, NY 11210-3508 2016-10-26
1154870913 Christina Masaitis Physician Assistant 2171 E 18th St, Apt 1c, Brooklyn, NY 11229-4468 2016-09-22
1447615737 Eliezer Gurkov Physician Assistant 888 Montgomery St, Apt F12, Brooklyn, NY 11213-5888 2015-12-31
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Competitor

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City BROOKLYN
Zip Code 11223

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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