person
Dr. Maryam Broukhim, MD
Specialist in Great Neck, New York
NPI 1558394320

Maryam Broukhim is a Specialist based in Great Neck, NY. Maryam Broukhim practices in Great Neck, NY and has the professional credentials of MD. The NPI Number for Maryam Broukhim is 1558394320 and holds a License No. 196144 (New York).

The current practice location address for Maryam Broukhim is 900 Northern Blvd, Great Neck, NY and can be reached out via phone at 516-487-3783 and via fax at 516-487-1392.

Location: 900 Northern Blvd, Great Neck, NY, 11021-5302
person
Provider Profile Details
NPI Number
1558394320
Provider Name
Maryam Broukhim
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
900 Northern Blvd, Great Neck, NY, 11021-5302
Phone Number
516-487-3783
Fax Number
516-487-1392
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01573660 05 NY
03840A 01 NY GHI MEDICARE
institution
Provider Business Practice Location Address Details
Address
900 Northern Blvd
City
State
Zip
11021-5302
Phone Number
516-487-3783
Fax Number
516-487-1392
person
Provider Business Mailing Address Details
Address
900 Northern Blvd
City
State
Zip
11021-5302
Phone Number
516-487-3783
Fax Number
516-487-1392
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
196144 (New York)
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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