Provider Demographics
NPI:1164098885
Name:KAREN H. BRODY, MD, LLC
Entity Type:Organization
Organization Name:KAREN H. BRODY, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:H
Authorized Official - Last Name:BRODY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-257-4021
Mailing Address - Street 1:PO BOX 362
Mailing Address - Street 2:
Mailing Address - City:SIASCONSET
Mailing Address - State:MA
Mailing Address - Zip Code:02564-0362
Mailing Address - Country:US
Mailing Address - Phone:508-257-4021
Mailing Address - Fax:508-257-4024
Practice Address - Street 1:36 LYONS LN
Practice Address - Street 2:
Practice Address - City:NANTUCKET
Practice Address - State:MA
Practice Address - Zip Code:02554-7649
Practice Address - Country:US
Practice Address - Phone:508-257-4021
Practice Address - Fax:508-257-4024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty