Individual
DR. BRANDON L MANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
351 FAIRVIEW AVE, SUITE 600, HUDSON, NY 12534-1258
(518) 828-3662
(518) 828-3845
Mailing address
351 FAIRVIEW AVE STE 600, HUDSON, NY 12534-1259
(518) 828-3662
(518) 828-3845
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010809
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-0679361
BX/BS # TAX ID
NY
01
—
NY10809
LANDMARK HEALTH CARE
NY
Enumeration date
10/31/2006
Last updated
11/05/2015
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