Individual provider · Type 1 NPI

Brandon Richard Ogilvie, MD

Student in an Organized Health Care Education/Training Program · Mineola, NY

NPI number 1720722200 Active

Practice location

222 Station Plz N Ste 305
Mineola, NY 11501-3893

Call (516) 663-2619 Map

Fax (516) 663-2261

Mailing address

109 Robin St Apt 32
Albany, NY 12208-3842

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1720722200

Brandon Richard Ogilvie, MD's National Provider Identifier is 1720722200, issued on Apr 21, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mineola, NY. The record was last updated on May 25, 2022.