Provider Demographics
NPI:1326003682
Name:BRASS, ROBERT E (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:BRASS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:713 TROY SCHENECTADY RD
Mailing Address - Street 2:SUITE 135
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2490
Mailing Address - Country:US
Mailing Address - Phone:518-782-7827
Mailing Address - Fax:518-782-7820
Practice Address - Street 1:713 TROY SCHENECTADY RD
Practice Address - Street 2:SUITE 135
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-2490
Practice Address - Country:US
Practice Address - Phone:518-782-7827
Practice Address - Fax:518-782-7820
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2011-12-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY189027207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10010375OtherCDPHP
NY000405650006OtherBLUE SHIELD
NY17016OtherMVP
NY25531OtherGHI HMO
NY01728174Medicaid
NYP00222538OtherRAILROAD MEDICARE
NYRB0258B510OtherBLUE CROSS
NY000405650006OtherBLUE SHIELD
NY10010375OtherCDPHP