Individual provider · Type 1 NPI

Jillian Lois Brandt, PA-C

Surgical Physician Assistant · New York, NY

NPI number 1649673203 Active

Practice location

1 Gustave L Levy Pl
New York, NY 10029-6504

Call (212) 241-6500 Map

Mailing address

30 Havemeyer St
Brooklyn, NY 11211-2172

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X018041 (NY)
Surgical Physician Assistant Primary 363AS0400X018041 (NY)

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About NPI 1649673203

Jillian Lois Brandt, PA-C's National Provider Identifier is 1649673203, issued on Sep 26, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Sep 26, 2014.