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NPI Code Detail

MEDICARE: MICHAEL P BRANIGAN C.R.N.A.

MEDICARE: MICHAEL P BRANIGAN C.R.N.A.
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
1367500000XCertified Registered Nurse Anesthetist388488NY

General Provider Information

NPI Number : 1881688869
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL P BRANIGAN C.R.N.A.
Provider Business Mailing Address
First Line : 5 W STATE ST
Second Line :
City : BINGHAMTON
State : NY
Zip : 13901-2322
Country : US
Telephone Number : 877-437-3725
Fax Number : 607-772-1223
Provider Business Practice Location Address
First Line : 179 N BROAD ST
Second Line :
City : NORWICH
State : NY
Zip : 13815-1019
Country : US
Telephone Number : 607-849-4128
Fax Number : 607-849-4891
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 06/24/2010

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