Provider Demographics
NPI:1699932806
Name:MICHAELS, BRIAN C (RPA-C)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:C
Last Name:MICHAELS
Suffix:
Gender:M
Credentials:RPA-C
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Mailing Address - Street 1:535 E 70TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4823
Mailing Address - Country:US
Mailing Address - Phone:212-774-2024
Mailing Address - Fax:212-774-2025
Practice Address - Street 1:541 E 71ST ST FL 6
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4871
Practice Address - Country:US
Practice Address - Phone:212-774-2024
Practice Address - Fax:212-774-2025
Is Sole Proprietor?:No
Enumeration Date:2008-05-16
Last Update Date:2024-10-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY009517363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical