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Organization

VB MEDICAL SERVICES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VINCENT T. BRANDEIS M.D. (PRESIDENT & MEDICAL DIRECTOR)
(646) 245-5358
Entity
Organization

Contact information

Practice address
4601 GREENPOINT AVE, SUITE 2D, SUNNYSIDE, NY 11104-1784
(212) 362-4848
(646) 219-4608
Mailing address
PO BOX 204, PLANETARIUM STATION, NEW YORK, NY 10024-0204
(646) 245-5358
(646) 219-4608

Taxonomy

Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
207VG0400X
Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G400066957
MEDICARE MEMBER PTAN
NY
Enumeration date
11/22/2016
Last updated
11/22/2016
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