Brand, Malcolm D
Brand, Malcolm D is an individual health care provider with primary practice located at 2432 N Triphammer Rd , Ithaca NY 14850-1014. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Brand, Malcolm D can be contacted via phone (607) 272-0460.Contact Information
Primary practice address
2432 N Triphammer Rd
Ithaca NY 14850-1014
Phone: (607) 272-0460
Fax: (607) 275-9739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 220321 | New York |
Profile Details
| NPI number | 1770507683 |
|---|---|
| LBN Legal business name | Brand, Malcolm D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | May 20th, 2008 - about 16 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 | 1770507683 | NPPES |
| New York | Other | CC5980 | MEDICARE ID |
| New York | MEDICAID | 02147217 | MEDICARE ID |
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