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NPI Code Detail

MEDICARE: DR. ANDREW ISAAC BRASH MD

MEDICARE: DR. ANDREW ISAAC BRASH MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207X00000XOrthopaedic Surgery Physician335034NY

General Provider Information

NPI Number : 1619506466
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW ISAAC BRASH MD
Provider Business Mailing Address
First Line : 20 CRESCENT RD
Second Line :
City : GREAT NECK
State : NY
Zip : 11021-2709
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 550 1ST AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10016-6402
Country : US
Telephone Number : 212-263-5506
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2020
Last Update Date : 06/15/2026

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