Individual
DR. ETHAN SAMUEL BRANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
STONY BROOK UNIVERSITY HOSPITAL, HSC, LEVEL 4, ROOM 080, STONY BROOK, NY 11794-8350
(631) 444-2478
Mailing address
STONY BROOK UNIVERSITY HOSPITAL, HSC, LEVEL 4, ROOM 080, STONY BROOK, NY 11794-8350
(631) 444-2478
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
241746
NY
207R00000X
Internal Medicine Physician
241746
NY
Other
Enumeration date
06/01/2007
Last updated
07/16/2014
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