Individual
MR. BRANDON JULIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 KELLOGG RD, NEW HARTFORD, NY 13413-2825
(315) 751-7047
Mailing address
20 KELLOGG RD, NEW HARTFORD, NY 13413-2825
(315) 765-0903
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
030828
NY
Other
Enumeration date
06/23/2022
Last updated
06/25/2024
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