| Robert A Brandis, MD | |
|
2497 State Highway 30, Mayfield, NY 12117-4020 | |
| (518) 661-5493 | |
| (518) 661-7688 |
| Full Name | Robert A Brandis |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 2497 State Highway 30, Mayfield, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760414692 | NPI | - | NPPES |
| 11152 | Other | NY | MVP HEALTHPLAN |
| 000411061001 | Other | NY | BSH NE NY |
| 00714530 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 146268 (New York) | Primary |
| Entity Name | Gloversville Physician Medicine Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487907630 PECOS PAC ID: 1850536228 Enrollment ID: O20130408000219 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert A Brandis, MD 99 E State St, Po Box 1250, Gloversville, NY 12078-1203 Ph: (518) 661-5493 | Robert A Brandis, MD 2497 State Highway 30, Mayfield, NY 12117-4020 Ph: (518) 661-5493 |
Mrs. Brooke Micaela Mcbride, FNP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2497 Ny-30, Mayfield, NY 12117 Phone: 518-661-5493 | |
Dr. Arunmozhi Dominic, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2497 State Highway 30, Mayfield, NY 12117 Phone: 518-661-5493 Fax: 518-661-7688 |