Dr. Brian J Waldron
Family Doctor Neuromusculoskeletal Medicine (NMM)
61 Broadway Ste 910
New York
, New York 10006-2736
Dr. Brian J Waldron
Family Doctor Neuromusculoskeletal Medicine (NMM)
61 Broadway Ste 910
New York
, New York 10006-2736
(212) 514-5460
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Brian J Waldron
- 61 Broadway Ste 910
- New York, NY
- Zip : 10006-2736
- Fax : (212) 514-5460
- Phone : (212) 344-5361
Second Address
- Dr. Brian J Waldron
- 61 Broadway Ste 910
- New York, NY
- Zip : 10006-2736
- Fax : (212) 514-5460
- Phone : (212) 344-5361
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 167350 | NY |
| N | 207Q00000X | Family Doctor | 1673501 | NY |
National Provider Identifier
| NPI | 1093785651 |
|---|---|
| Provider Name | Dr. Brian J Waldron |
| First Address | New York, NY 10006-2736 |
| Second Address | New York, NY 10006-2736 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/01/2006 |
| Last Update Date | 27/01/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A64582 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.