Individual provider · Type 1 NPI

Andre Edmond Broussard, MD

Pediatric Sports Medicine Physician · New York, NY

NPI number 1710069695 Active

Practice location

1901 First Ave, 523
New York, NY 10029

Call (212) 423-6228 Map

Fax (212) 534-7831

Mailing address

1901 1st Ave, Room 523
New York, NY 10029-7404

Specialties and licenses

TaxonomyCodeLicense
Pediatric Sports Medicine Physician Primary 2080S0010XMD126425 (NY)

Pediatric Sports Medicine Physician: A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology,…

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About NPI 1710069695

Andre Edmond Broussard, MD's National Provider Identifier is 1710069695, issued on Oct 19, 2006. The primary taxonomy on file is Pediatric Sports Medicine Physician (2080S0010X), and the practice location is in New York, NY. The record was last updated on Nov 29, 2007.