Individual
DENISE MARIE BRANNICK
Active
Individual
DENISE MARIE BRANNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
199317
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01647929
—
NY
05
—
01650540
—
NY
01
—
040426013911
FIDELIS
NY
01
—
10045916
CDPHP
NY
01
—
199317-9
WC
NY
01
—
225083
MVP
NY
01
—
300083371
RAIL ROAD MEDICARE
NY
01
—
4102996
GHI
NY
01
—
P010199317
BCBS
NY
Enumeration date
05/04/2006
Last updated
05/01/2023
Update your record
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