Brosnan, John J

Brosnan, John J is an individual health care provider with primary practice located at 319 South Manning Blvd Suite 201, Albany NY 12208-1743. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Brosnan, John J can be contacted via phone (518) 489-3296.

Contact Information

Primary practice address
319 South Manning Blvd Suite 201 Albany NY 12208-1743
Phone: (518) 489-3296
Fax: (518) 489-4663
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 160632 New York
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 152484 New York

Profile Details

NPI number 1467446849
LBN Legal business name Brosnan, John J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Dec 17th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467446849 NPPES
New York MEDICAID 00998696

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