Individual
DR. DEREK R BRINSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 E 77TH ST, 4TH FLOOR BLACK HALL, NEW YORK, NY 10075-1851
(212) 434-3000
(212) 434-4559
Mailing address
130 E 77TH ST, 4TH FLOOR BLACK HALL, NEW YORK, NY 10075-1851
(212) 434-3000
(212) 434-4559
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101239882
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
273879
NY
Other
Enumeration date
07/10/2006
Last updated
09/11/2014
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