Healthcare Provider Details

I. General information

NPI: 1528081320
Provider Name (Legal Business Name): BRIAN DELANEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 05/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2371 ARTHUR AVE
BRONX NY
10458-8113
US

IV. Provider business mailing address

PO BOX 1032 THROGGS NECK STATION
BRONX NY
10465-0996
US

V. Phone/Fax

Practice location:
  • Phone: 718-364-6199
  • Fax: 718-364-6502
Mailing address:
  • Phone: 718-364-6199
  • Fax: 718-364-6502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number158568
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: