Provider Demographics
NPI:1356534580
Name:BRICKMAN, JOSHUA H (DMD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:H
Last Name:BRICKMAN
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 1:1414 AVENUE OF THE AMERICAS
Mailing Address - Street 2:19TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-2514
Mailing Address - Country:US
Mailing Address - Phone:212-832-1414
Mailing Address - Fax:212-832-2575
Practice Address - Street 1:1414 AVENUE OF THE AMERICAS
Practice Address - Street 2:19TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-2514
Practice Address - Country:US
Practice Address - Phone:212-832-1414
Practice Address - Fax:212-832-2575
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0399471223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics