MEDICARE: ANDREA BRAICA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1023515475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA BRAICA

Provider Business Mailing Address
First Line	:	41 HORSESHOE LN
Second Line	:
City	:	SOMERS
State	:	CT
Zip	:	06071-2235
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	96 PROSPECT HILL RD
Second Line	:
City	:	EAST WINDSOR
State	:	CT
Zip	:	06088-9668
Country	:	US
Telephone Number	:	860-623-9846
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2018
Last Update Date	:	04/11/2018

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Directions to “ ANDREA BRAICA ” Practice Location

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