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NPI Code Detail

MEDICARE: MICHAEL BRAUN RN

MEDICARE:   MICHAEL  BRAUN  RN
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
1163W00000XRegistered Nurse660057NY

General Provider Information

NPI Number : 1992101182
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL BRAUN RN
Provider Business Mailing Address
First Line : 545 HOLLYWOOD AVE APT 3
Second Line :
City : BRONX
State : NY
Zip : 10465-2507
Country : US
Telephone Number : 646-740-1061
Fax Number :
Provider Business Practice Location Address
First Line : 545 HOLLYWOOD AVE APT 3
Second Line :
City : BRONX
State : NY
Zip : 10465-2507
Country : US
Telephone Number : 646-740-1061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2014
Last Update Date : 11/14/2014

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