Otto, Brandon James

Otto, Brandon James is an individual health care provider with primary practice located at 19 West Ave Ste 103 , Saratoga Springs NY 12866-6052. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Otto, Brandon James can be contacted via phone (518) 583-0111.

Contact Information

Primary practice address
19 West Ave Ste 103 Saratoga Springs NY 12866-6052
Phone: (518) 583-0111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 297545-1 New York

Profile Details

NPI number 1346483443
LBN Legal business name Otto, Brandon James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2009
Last updated Jul 5th, 2019 - about 7 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 1346483443 NPPES
Florida MEDICAID 015002600

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