Brewster Medical, PC

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

127749 Issued in NY

Legal business name

BREWSTER MEDICAL, PC

Practice address

3 Brewster St
Glen Cove, NY 11542-2510

Phone

(151) 675-9770

NPI assigned

Jan 11, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Joseph Gallo, MD

Title

President

Phone

(516) 759-7702

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1346545076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BREWSTER ST",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422510",
            "telephone_number": "151-675-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BREWSTER ST",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422510",
            "telephone_number": "151-675-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREWSTER MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "GALLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "15167597702",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NY",
            "license": "127749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Borriello, LCAT
• Oksana Borukh
• Kayla Brady, LMSW
• Kristen Anne Brennan
• Austin S Bresky
• Elliott Warren Brilliant, D.D.S.
• Joanna Britt, LCSW
• Christine L Britton, RN
• Charles Brody, M.ED., M.A.
• Erin Brown

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.