Provider Demographics
NPI:1124240825
Name:BRODY, ABRAHAM AIZER (RN, PHD, GNP-BC)
Entity type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:AIZER
Last Name:BRODY
Suffix:
Gender:M
Credentials:RN, PHD, GNP-BC
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Mailing Address - Street 1:726 BROADWAY
Mailing Address - Street 2:10TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-9502
Mailing Address - Country:US
Mailing Address - Phone:212-992-7341
Mailing Address - Fax:212-995-3143
Practice Address - Street 1:345 E 24TH ST
Practice Address - Street 2:SUITE 1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4020
Practice Address - Country:US
Practice Address - Phone:212-998-9427
Practice Address - Fax:212-995-4993
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2013-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYF340795363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology