BRANT E FORD PA

ST JOSEPHS MEDICAL PC

Dr BRANT E FORD PA is a male medical professional, specializing in Physician Assistant. He graduated in 1981 from Albany Medical College Of Union University.

Contact

ST JOSEPHS MEDICAL PC

5100 W TAFT RD
LIVERPOOL
NY
130883807

Tel: 3154522828

BRANT E FORD PA Information

Npi 1568401875
Pac Id 1951306604
Professional Enrollment Id I20061002000369
Last Name FORD
First Name BRANT
Middle Name E
Suffix
Gender M
Credential PA
Medical School Name ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year 1981
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ST JOSEPHS MEDICAL PC
Group Practice Pac Id 4688855844
Number Of Group Practice Members 332
Line 1 Street Address 5100 W TAFT RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City LIVERPOOL
State NY
Zip Code 130883807
Phone Number 3154522828
Hospital Affiliation Ccn 1 330140
Hospital Affiliation Lbn 1 ST JOSEPH'S HOSPITAL HEALTH CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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