Provider Demographics
NPI:1013043421
Name:CLINTON, BRIAN KEITH (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:KEITH
Last Name:CLINTON
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:177 FORT WASHINGTON AVE
Mailing Address - Street 2:MILSTEIN 9 GARDEN NORTH; ATTN: BRIAN CLINTON
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3733
Mailing Address - Country:US
Mailing Address - Phone:646-706-7369
Mailing Address - Fax:646-706-7369
Practice Address - Street 1:710 W 168TH ST FL 12
Practice Address - Street 2:COLUMBIA PSYCHIATRY SPECIALTY CLINICS
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3726
Practice Address - Country:US
Practice Address - Phone:646-706-7369
Practice Address - Fax:646-706-7369
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2012-01-18
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Provider Licenses
StateLicense IDTaxonomies
NY2568112084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry