Individual
MR. BRENDAN TIMOTHY MCGINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
5496 E TAFT RD, N SYRACUSE, NY 13212-3773
(315) 552-6700
(315) 552-6701
Mailing address
PO BOX 510, SYRACUSE, NY 13214-0510
(315) 703-3484
(315) 703-3487
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
275735
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03913206
—
NY
Enumeration date
04/23/2009
Last updated
05/18/2020
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