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NPI Code Detail

MEDICARE: DR. CRAIG BRANDOFF DPM

MEDICARE:  DR. CRAIG  BRANDOFF  DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0131XFoot Surgery PodiatristN004210NY

General Provider Information

NPI Number : 1184767055
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CRAIG BRANDOFF DPM
Provider Business Mailing Address
First Line : 42 BROADWAY
Second Line : SUITE 1638
City : NEW YORK
State : NY
Zip : 10004-1617
Country : US
Telephone Number : 212-742-0652
Fax Number : 212-755-7429
Provider Business Practice Location Address
First Line : 42 BROADWAY
Second Line : SUITE 1638
City : NEW YORK
State : NY
Zip : 10004-1617
Country : US
Telephone Number : 212-742-0652
Fax Number : 212-755-7429
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2007
Last Update Date : 07/08/2007

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Directions to “ DR. CRAIG BRANDOFF DPM” Practice Location

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