Individual
BRIAN CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
181 BRAND RD, MALONE, NY 12953-2945
(518) 483-8411
(518) 483-8408
Mailing address
181 BRAND RD, MALONE, NY 12953-2945
(518) 483-8411
(518) 483-8408
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
210333
NY
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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