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NPI Code Detail

MEDICARE: J. EDUARDO BRAVO AU.D.

MEDICARE: J. EDUARDO BRAVO AU.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
1237600000XAudiologist-Hearing Aid Fitter001303-1NY

General Provider Information

NPI Number : 1861679003
Entity Type Code : Individual
Provider Name (Legal Business Name) : J. EDUARDO BRAVO AU.D.
Provider Business Mailing Address
First Line : 1 CHASE RD
Second Line :
City : SCARSDALE
State : NY
Zip : 10583-4156
Country : US
Telephone Number : 914-472-4444
Fax Number : 914-931-3485
Provider Business Practice Location Address
First Line : 1 CHASE RD
Second Line :
City : SCARSDALE
State : NY
Zip : 10583-4156
Country : US
Telephone Number : 914-472-4444
Fax Number : 914-931-3485
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2008
Last Update Date : 12/11/2025

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