Healthcare Provider Details

I. General information

NPI: 1295667418
Provider Name (Legal Business Name): BRIAUNASAAA MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MANHATTAN AVE APT 7C
WHITE PLAINS NY
10603-2718
US

IV. Provider business mailing address

100 MANHATTAN AVE APT 7C
WHITE PLAINS NY
10603-2718
US

V. Phone/Fax

Practice location:
  • Phone: 914-771-1030
  • Fax:
Mailing address:
  • Phone: 914-771-1030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: BRIAUNA HARRIS
Title or Position: OWNER
Credential:
Phone: 914-771-1030