Individual
DR. BRIAN RICHARD BIRNBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9525 QUEENS BLVD STE 7, REGO PARK, NY 11374-4510
(718) 975-2415
(718) 925-6259
Mailing address
8002 KEW GARDENS RD STE 402, KEW GARDENS, NY 11415-3613
(929) 485-0300
(347) 561-6645
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
298263
NY
207RP1001X
Pulmonary Disease Physician
Primary
298263
NY
Other
Enumeration date
03/24/2016
Last updated
09/16/2024
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