Provider Demographics
NPI:1497929202
Name:PAUL-MARIE BRISSON MD PC
Entity Type:Organization
Organization Name:PAUL-MARIE BRISSON MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL-MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRISSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-813-3632
Mailing Address - Street 1:51 - E. 25TH STREET
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10010
Mailing Address - Country:US
Mailing Address - Phone:212-813-3632
Mailing Address - Fax:212-696-0108
Practice Address - Street 1:51 - E. 25TH STREET
Practice Address - Street 2:6TH FL
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10010
Practice Address - Country:US
Practice Address - Phone:212-813-3632
Practice Address - Fax:212-696-0108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY188579207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW59321OtherMEDICARE PTIN