Individual
MR. BRIAN S VAN SISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
5010 STATE HIGHWAY 30, MOHAWK VALLEY MEDICAL ARTS BUILDING, AMSTERDAM, NY 12010
(518) 212-6291
(518) 212-2222
Mailing address
5010 STATE HIGHWAY 30, MOHAWK VALLEY MEDICAL ARTS BUILDING, AMSTERDAM, NY 12010
(518) 212-6291
(518) 212-2222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023122
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00697301
—
NY
Enumeration date
01/17/2006
Last updated
12/01/2021
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