Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 262930 | NY |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 262930 | NY |
NPI | 1184879868 |
---|---|
Provider Name | Dr. Brian G. Kincaid JR. |
First Address | East Patchogue, NY 11772-4808 |
Second Address | East Patchogue, NY 11772-4808 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2008 |
Last Update Date | 15/08/2019 |