Organization
DENIS F BRANSON MD PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENIS F BRANSON MD (PRESIDENT)
(315) 446-8313
Entity
Organization
Contact information
Practice address
7000 E GENESEE ST, BUILDING E, FAYETTEVILLE, NY 13066-1131
(315) 446-8313
(315) 446-5387
Mailing address
7000 E GENESEE ST, BUILDING E, FAYETTEVILLE, NY 13066-1131
(315) 446-8313
(315) 446-5387
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
162343
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070001967
PALMETTO GBA MEDICARE PR
NY
01
—
1612881118
TAX ID
NY
01
—
50469B
MEDICARE ID-TYPE UNSPECIFIED
NY
Enumeration date
01/06/2011
Last updated
01/06/2011
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