Michelle Ann Brozowski, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

000824-1 Issued in NY

Practice address

104 E 40TH St # 110
New York, NY 10016-1801

Phone

(212) 584-2610

Fax

(212) 584-5612

NPI assigned

Feb 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293926400000",
    "number": "1679616247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 VIVIAN LN",
            "city": "CHESTER",
            "state": "NY",
            "postal_code": "109181119",
            "telephone_number": "845-610-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E 40TH ST # 110",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161801",
            "telephone_number": "212-584-2610",
            "fax_number": "212-584-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROZOWSKI",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2011-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "000824-1",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00108600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alizah Zahavah Brozgold, PHD
• Todd Brozman, LMT
• Libby Keen Brubaker, DO
• Sara Grace Brubaker, MD
• Amina Brucaj
• Seada Brucaj
• Debbie Marie Brucato-Duncan, ACNP-BC

• Athletic Trainer in New York, NY
• Providers in New York, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.