Individual
DR. BRANDON B OR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
682 UNION ST, BROOKLYN, NY 11215-2047
(347) 560-8393
Mailing address
2020 86TH ST, BROOKLYN, NY 11214-3204
(718) 619-8855
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008767-1
NY
Other
Enumeration date
06/18/2018
Last updated
05/25/2021
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