Individual
JONATHAN BRANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD,CAC
Contact information
Practice address
99 MAIN ST #540, NYACK, NY 10960
(845) 535-5824
Mailing address
99 MAIN ST #540, NYACK, NY 10960
(845) 535-5824
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
187228
NY
225400000X
Rehabilitation Practitioner
A187228
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01347617
—
NY
Enumeration date
07/24/2006
Last updated
05/07/2023
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