Individual
DR. BRIAN W AULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MS
Contact information
Practice address
101 HOSPITAL RD, EMERGENCY DEPARTMENT ADMINISTRATIVE OFFICE, EAST PATCHOGUE, NY 11772-4870
(631) 239-1824
Mailing address
101 HOSPITAL RD, EAST PATCHOGUE, NY 11772-4870
(631) 654-7763
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
276229
NY
207P00000X
Emergency Medicine Physician
Primary
DO2416
NV
Other
Enumeration date
06/28/2011
Last updated
06/09/2021
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