Individual
BRANDI E UPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
577 PROSPECT AVE, BROOKLYN, NY 11215-6065
(718) 369-1444
(718) 369-3066
Mailing address
PO BOX 416173, BOSTON, MA 02241-6173
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2013032805
MO
2086S0129X
Vascular Surgery Physician
2013032805
MO
2086S0129X
Vascular Surgery Physician
Primary
301188
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06129822
—
NY
05
—
07933
—
LA
05
—
1457561789
—
MO
Enumeration date
05/23/2007
Last updated
06/10/2021
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