Active NPI
Breslow Medical PC
- Surgery Physician
- Brooklyn, NY
National Provider Identifier
1023259074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 228436
- Legal business name
- BRESLOW MEDICAL PC
- Practice address
- 2754 Coney Island Ave Ste 56
Brooklyn, NY 11235-5016 - Phone
- (347) 834-5069
- Fax
- (877) 219-1596
- NPI assigned
- Mar 19, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary D Breslow, MD
- Title
- President
- Phone
- (347) 834-5069
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 228436 | NY | Primary |
Addresses
Primary practice location
2754 Coney Island Ave Ste 56
Brooklyn, NY 11235-5016
Mailing address
2754 Coney Island Ave Ste 56
Brooklyn, NY 11235-5016
Phone (347) 834-5069
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237420800000",
"number": "1023259074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2754 CONEY ISLAND AVE STE 56",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355016",
"telephone_number": "347-834-5069",
"fax_number": "877-219-1596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2754 CONEY ISLAND AVE STE 56",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355016",
"telephone_number": "347-834-5069",
"fax_number": "877-219-1596"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRESLOW MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-19",
"last_updated": "2009-03-19",
"status": "A",
"authorized_official_last_name": "BRESLOW",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-834-5069",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "NY",
"license": "228436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.