Bragdon, Andrew C
Bragdon, Andrew C is an individual health care provider with primary practice located at 90 Presidential Plz 4Th Floor, Syracuse NY 13202-2240. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Bragdon, Andrew C can be contacted via phone (315) 464-4243.Contact Information
Primary practice address
90 Presidential Plz 4Th Floor
Syracuse NY 13202-2240
Phone: (315) 464-4243
Fax: (315) 464-5350
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 178406 | New York |
Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 178406 | New York |
Profile Details
NPI number | 1306895321 |
---|---|
LBN Legal business name | Bragdon, Andrew C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 8th, 2006 |
Last updated | May 6th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306895321 | NPPES |
New York | MEDICAID | 01137439 |
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