Brandeis, Gabriel H

Brandeis, Gabriel H is an individual health care provider with primary practice located at Medical Department 79-01 Broadway, New York NY 11373. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Brandeis, Gabriel H can be contacted via phone (718) 334-3444.

Contact Information

Primary practice address
Medical Department 79-01 Broadway New York NY 11373
Fax: (718) 334-2879
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 58101 Massachusetts
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 58101 Massachusetts
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 166195 New York

Profile Details

NPI number 1023093994
LBN Legal business name Brandeis, Gabriel H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jul 6th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023093994 NPPES
Massachusetts MEDICAID 110049558A
Massachusetts MEDICAID BG3A

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