Individual
DR. DENIS F BRANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
162343
NY
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
162343
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
162343
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070001967
PALMETTO GBA MEDICARE PR
NY
01
—
161288118
TAX ID
NY
Enumeration date
06/12/2006
Last updated
01/06/2011
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