King, Brian

King, Brian is an individual health care provider with primary practice located at 102 Park Street Suite 201, Glens Falls NY 12801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. King, Brian can be contacted via phone (518) 798-1719.

Contact Information

Primary practice address
102 Park Street Suite 201 Glens Falls NY 12801
Phone: (518) 798-1719
Fax: (518) 798-1943
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 121057 New York

Profile Details

NPI number 1487704607
LBN Legal business name King, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
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 1487704607 NPPES
New York MEDICAID 00352314

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