Individual
BRIAN BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1 HANSON PL, SUITE 1215, BROOKLYN, NY 11243-2907
(718) 230-4844
Mailing address
77 SAGAMORE RD, BRONXVILLE, NY 10708-1506
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
N003220
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00703993
—
NY
Enumeration date
01/27/2006
Last updated
06/13/2012
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