Individual
BRIAN MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-4000
Mailing address
160 RIVERSIDE BLVD APT 15E, NEW YORK, NY 10069-0710
(973) 670-6438
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432127
NY
Other
Enumeration date
09/06/2021
Last updated
10/22/2021
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