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NPI Code Detail

MEDICARE: DR. STEVEN BRAHA M.D.

MEDICARE: DR. STEVEN BRAHA M.D.
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
1207U00000XNuclear Medicine Physician188139NY
22085R0202XDiagnostic Radiology Physician188139NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265432868
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN BRAHA M.D.
Provider Business Mailing Address
First Line : 1 BROOKDALE PLZ STE 666
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-3198
Country : US
Telephone Number : 718-240-7143
Fax Number : 718-240-6620
Provider Business Practice Location Address
First Line : 1 BROOKDALE PLZ
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-3139
Country : US
Telephone Number : 718-240-6151
Fax Number : 718-240-6620
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 06/02/2020

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