Provider Demographics
NPI:1245572957
Name:BROWDY, DAVID P (DMD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:P
Last Name:BROWDY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:483 SCRANTON AVE
Mailing Address - Street 2:A1
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-3335
Mailing Address - Country:US
Mailing Address - Phone:516-599-7111
Mailing Address - Fax:
Practice Address - Street 1:483 SCRANTON AVE
Practice Address - Street 2:A1
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-3335
Practice Address - Country:US
Practice Address - Phone:516-599-7111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0308091223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics