Individual
DR. MARK EVAN BRANDWEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
611 BROADWAY, #907C, NEW YORK, NY 10012-2608
(212) 219-0284
Mailing address
611 BROADWAY, #907C, NEW YORK, NY 10012-2608
(212) 219-0284
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
MC04210
NJ
111N00000X
Chiropractor
Primary
X003719-1
NY
Other
Enumeration date
03/31/2006
Last updated
01/17/2012
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