Individual provider · Type 1 NPI
Douglas Alan Brylka, MD
Radiology Clinic/Center · New York, NY
NPI number
1114181963
Active
Practice location
525 East 68th Street, Box 141
New York, NY 10065-4885
Mailing address
1811 Springfield Ave, 5th Floor
New Providence, NJ 07974-1041
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology Clinic/Center Primary | 261QR0200X | 25MA09996500 (NJ) |
| Diagnostic Radiology Physician | 2085R0202X | 256839 (NY) |
Radiology Clinic/Center: Definition to come...
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About NPI 1114181963
Douglas Alan Brylka, MD's National Provider Identifier is 1114181963, issued on Jul 10, 2008. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in New York, NY. The record was last updated on Jan 24, 2017.