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NPI Code Detail

MEDICARE: BRANDON SOMWARU DO

MEDICARE: BRANDON SOMWARU DO
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
1207P00000XEmergency Medicine Physician329108NY
2207RC0200XCritical Care Medicine (Internal Medicine) Physician329108NY

General Provider Information

NPI Number : 1902469646
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDON SOMWARU DO
Provider Business Mailing Address
First Line : 1111 AMSTERDAM AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10025-1716
Country : US
Telephone Number : 212-241-6500
Fax Number :
Provider Business Practice Location Address
First Line : 1111 AMSTERDAM AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10025-1716
Country : US
Telephone Number : 973-754-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2019
Last Update Date : 04/15/2026

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Directions to “ BRANDON SOMWARU DO” Practice Location

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