Individual
BRENDEN BACHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3478
(518) 262-3125
Mailing address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3478
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
032937
NY
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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