Individual
BRIAN MCCANDLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 EMMA LN, STE 103, CLIFTON PARK, NY 12065-3763
(518) 482-4838
Mailing address
130 CANVASS ST, COHOES, NY 12047-3049
(518) 235-0827
(518) 237-3106
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207U00000X
Nuclear Medicine Physician
Primary
152615-1
NY
207UN0901X
Nuclear Cardiology Physician
152615-1
NY
207UN0902X
Nuclear Imaging & Therapy Physician
152615-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01032824
—
NY
Enumeration date
08/20/2006
Last updated
11/29/2016
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