Provider Demographics
NPI:1922151562
Name:ORMSBY, BRENDAN MICHAEL (LCAT, MT-BC)
Entity Type:Individual
Prefix:MR
First Name:BRENDAN
Middle Name:MICHAEL
Last Name:ORMSBY
Suffix:
Gender:M
Credentials:LCAT, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3660 WALDO AVE
Mailing Address - Street 2:APT 5K
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-2224
Mailing Address - Country:US
Mailing Address - Phone:646-673-7058
Mailing Address - Fax:
Practice Address - Street 1:3660 WALDO AVE
Practice Address - Street 2:APT 5K
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-2224
Practice Address - Country:US
Practice Address - Phone:646-673-7058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001064225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist