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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1457561789 | NPPES |
New York | MEDICAID | 06129822 | |
New York | MEDICAID | 07933 | |
New York | MEDICAID | 1457561789 |
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