ALTON JOLYON BRISPORT NPI 1790794733

NPI Information

NPI: 1790794733
Provider Name: ALTON JOLYON BRISPORT
Classification: Occupational Therapist - 225XH1200X
Entity Type: Individual

Specialization: Hand

Address:
113 HOLLAND AVE
ALBANY, NY
ZIP 12208
Phone: (518) 626-5803
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Alton Jolyon Brisport is a hand occupational therapist in Albany, NY. Alton Jolyon Brisport NPI is 1790794733. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

113 HOLLAND AVE
ALBANY, NY
ZIP 12208-410
Phone: (518) 626-5803

The enumeration date for this NPI number is 8/7/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225XH1200X	Occupational Therapist	Hand	004751-1/1021100057	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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