Individual
BRIAN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 PARK STREET, SUITE 201, GLENS FALLS, NY 12801
(518) 798-1719
(518) 798-1943
Mailing address
102 PARK STREET, SUITE 201, GLENS FALLS, NY 12801
(518) 798-1719
(518) 798-1943
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
121057
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00352314
—
NY
Enumeration date
01/11/2007
Last updated
07/08/2007
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