Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Maryam Broukhim, MD

Individual provider Specialist · NPI 1558394320

Dr. Maryam Broukhim, MD is a General Surgery in Great Neck, New York. Graduated from University of Texas Medical Branch at Galveston in 1989, 37 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
37
Trained at
University of Texas Medical Branch at Galveston
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

900 Northern Blvd Ste 250
Great Neck, NY 11021-5302
Phone: (516) 487-3783
Fax: (516) 487-1392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 196144 (NY)

Record details

NPI number1558394320
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 7, 2006
Last updated in NPPESJanuary 12, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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