Gifford, E. Brooke

Gifford, E. Brooke is an individual health care provider with primary practice located at 1 West Ave Ste 330 , Saratoga Springs NY 12866-6065. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gifford, E. Brooke can be contacted via phone (518) 584-5330.

Contact Information

Primary practice address
1 West Ave Ste 330 Saratoga Springs NY 12866-6065
Phone: (518) 584-5330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004485 New York

Profile Details

NPI number 1376641084
LBN Legal business name Gifford, E. Brooke
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated May 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376641084 NPPES
New York MEDICAID 00473038
New York MEDICAID 02808735

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