Individual
GABRIEL H BRANDEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL DEPARTMENT, 79-01 BROADWAY, NEW YORK, NY 11373
(718) 334-3444
(718) 334-2879
Mailing address
MEDICAL DEPARTMENT, 79-01 BROADWAY, NEW YORK, NY 11373
(718) 334-3444
(718) 334-2879
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
58101
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
166195
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
58101
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110049558A
—
MA
05
—
BG3A
—
NY
Enumeration date
12/13/2005
Last updated
07/06/2020
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