Upton, Brandi E

Upton, Brandi E is an individual health care provider with primary practice located at 577 Prospect Ave , Brooklyn NY 11215-6065. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Upton, Brandi E can be contacted via phone (718) 369-1444.

Contact Information

Primary practice address
577 Prospect Ave Brooklyn NY 11215-6065
Phone: (718) 369-1444
Fax: (718) 369-3066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2013032805 Missouri
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 2013032805 Missouri
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 301188 New York

Profile Details

NPI number 1457561789
LBN Legal business name Upton, Brandi E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jun 10th, 2021 - about 3 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 1457561789 NPPES
New York MEDICAID 06129822
New York MEDICAID 07933
New York MEDICAID 1457561789

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