Individual
BRIAN PHAN TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2651 CLEARVIEW DR, ENDICOTT, NY 13760-7015
(607) 727-5683
Mailing address
2651 CLEARVIEW DR, ENDICOTT, NY 13760-7015
(607) 727-5683
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
277792-1
NY
Other
Enumeration date
05/09/2011
Last updated
12/17/2014
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