Provider Demographics
NPI:1073552220
Name:BROCHSTEIN, JOEL AARON (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:AARON
Last Name:BROCHSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:242 MILLWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514-1419
Mailing Address - Country:US
Mailing Address - Phone:914-238-4714
Mailing Address - Fax:914-238-6033
Practice Address - Street 1:26901 76TH AVE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1433
Practice Address - Country:US
Practice Address - Phone:718-470-3460
Practice Address - Fax:718-343-4642
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA399652080P0207X
NY1350372080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJB80578Medicare UPIN