Provider Demographics
NPI:1528155611
Name:APATOFF, BRIAN R (MD)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:R
Last Name:APATOFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E 55TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-6158
Mailing Address - Country:US
Mailing Address - Phone:212-593-6262
Mailing Address - Fax:212-593-5757
Practice Address - Street 1:401 E 55TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-6158
Practice Address - Country:US
Practice Address - Phone:212-593-6262
Practice Address - Fax:212-593-5757
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-09
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1760962084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01608768Medicaid
NY01608768Medicaid
NYE87297Medicare UPIN