MEDICARE: DR. DANIEL IGOR BRANOVAN M.D.

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
1	174400000X	Specialist	199622	NY
2	208600000X	Surgery Physician	199622	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235198250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL IGOR BRANOVAN M.D.

Provider Business Mailing Address
First Line	:	1810 VOORHIES AVE STE 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3313
Country	:	US
Telephone Number	:	718-616-1000
Fax Number	:	718-616-1110

Provider Business Practice Location Address
First Line	:	1810 VOORHIES AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3609
Country	:	US
Telephone Number	:	718-616-1000
Fax Number	:	718-616-1110

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2006
Last Update Date	:	03/26/2026

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