Individual provider · Type 1 NPI

Joel Brock, MD

General Practice Physician · Staten Island, NY

NPI number 1104150283 Active

Practice location

479 Sleight Ave
Staten Island, NY 10307-1942

Call (718) 605-5225 Map

Fax (718) 605-5225

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X119043 (NY)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1104150283

Joel Brock, MD's National Provider Identifier is 1104150283, issued on Sep 23, 2009. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Staten Island, NY. The record was last updated on Sep 23, 2009.