Individual
ROBERT DONALD BRANCH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
290 E MAIN ST STE 700, SMITHTOWN, NY 11787-2916
(718) 419-1649
(631) 361-5376
Mailing address
232 MERRICK RD, LYNBROOK, NY 11563-2623
(718) 419-1649
(631) 361-5376
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
008256-1
NY
Other
Enumeration date
04/17/2007
Last updated
10/30/2019
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