Individual
DR. ROBERT E BRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
713 TROY SCHENECTADY RD, SUITE 135, LATHAM, NY 12110-2490
(518) 782-7827
(518) 782-7820
Mailing address
713 TROY SCHENECTADY RD, SUITE 135, LATHAM, NY 12110-2490
(518) 782-7827
(518) 782-7820
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
189027
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000405650006
BLUE SHIELD
NY
05
—
01728174
—
NY
01
—
10010375
CDPHP
NY
01
—
17016
MVP
NY
01
—
25531
GHI HMO
NY
01
—
P00222538
RAILROAD MEDICARE
NY
01
—
RB0258B510
BLUE CROSS
NY
Enumeration date
04/19/2006
Last updated
12/21/2011
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