Van Sise, Brian S

Van Sise, Brian S is an individual health care provider with primary practice located at 5010 State Highway 30 Mohawk Valley Medical Arts Building, Amsterdam NY 12010. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Van Sise, Brian S can be contacted via phone (518) 212-6291.

Contact Information

Primary practice address
5010 State Highway 30 Mohawk Valley Medical Arts Building Amsterdam NY 12010
Phone: (518) 212-6291
Fax: (518) 212-2222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 023122 New York

Profile Details

NPI number 1477532596
LBN Legal business name Van Sise, Brian S
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Dec 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477532596 NPPES
New York MEDICAID 00697301

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