BRANDON MEDICAL WELLNESS OF NEW YORK PC NPI 1174871685

NPI Information

NPI: 1174871685
Provider Name: BRANDON MEDICAL WELLNESS OF NEW YORK PC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
274 MADISON AVE
STE 705
NEW YORK, NY
ZIP 10016
Phone: (212) 481-0400
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BRANDON MEDICAL WELLNESS OF NEW YORK PC is a health service clinic center in New York, NY. BRANDON MEDICAL WELLNESS OF NEW YORK PC NPI is 1174871685. The provider is registered as an organization entity type.

The provider's business location address is:

274 MADISON AVE
STE 705
NEW YORK, NY
ZIP 10016-701
Phone: (212) 481-0400
Fax: (631) 481-9631

The provider's authorized official is Brandon Aden .
The authorized official title is President and has the following contact phone number (212) 481-0400.

The enumeration date for this NPI number is 8/15/2012 and was last updated on 8/15/2012.

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	261QH0100X	Clinic/Center	Health Service	237639	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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