Healthcare Provider Details

I. General information

NPI: 1245294289
Provider Name (Legal Business Name): STEVEN Z BRANDEIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 05/16/2024
Certification Date: 05/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 E 35TH ST RM 200
NEW YORK NY
10016-3823
US

IV. Provider business mailing address

35 E 35TH ST RM 200
NEW YORK NY
10016-3823
US

V. Phone/Fax

Practice location:
  • Phone: 212-696-5411
  • Fax: 212-696-5906
Mailing address:
  • Phone: 212-696-5411
  • Fax: 212-696-5906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number135703
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number135703
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: