Brantley, Waleed A

Brantley, Waleed A is an individual health care provider with primary practice located at 2223 West State St Ste 109, Olean NY 14760. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Brantley, Waleed A can be contacted via phone (716) 373-0315.

Contact Information

Primary practice address
2223 West State St Ste 109 Olean NY 14760
Phone: (716) 373-0315
Fax: (716) 373-2114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 1302671 New York

Profile Details

NPI number 1811099096
LBN Legal business name Brantley, Waleed A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 8th, 2007 - about 17 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 1811099096 NPPES
New York Other 00020305101 UNIVERA
New York MEDICAID 00798307 UNIVERA
New York Other 000500192001 UNIVERA

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