MEDICARE: NINA BRAUN

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	009747	NY

General Provider Information

NPI Number	:	1184930950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NINA BRAUN

Provider Business Mailing Address
First Line	:	2320 AVENUE K
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-3642
Country	:	US
Telephone Number	:	718-252-6915
Fax Number	:

Provider Business Practice Location Address
First Line	:	2320 AVENUE K
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-3642
Country	:	US
Telephone Number	:	718-252-6915
Fax Number	:

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

Provider Enumeration Date	:	08/31/2010
Last Update Date	:	08/31/2010

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Directions to “ NINA BRAUN ” Practice Location

Language	Start Address	Practice Location

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