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NPI Code Detail

MEDICARE: CAROLINA ELIZABETH BRAGINSKY

MEDICARE: CAROLINA ELIZABETH BRAGINSKY
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
1363LA2200XAdult Health Nurse Practitioner309082NY

General Provider Information

NPI Number : 1992263701
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINA ELIZABETH BRAGINSKY
Provider Business Mailing Address
First Line : 351 GREAT KILLS RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10308-3514
Country : US
Telephone Number : 347-446-3038
Fax Number :
Provider Business Practice Location Address
First Line : 351 GREAT KILLS RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10308-3514
Country : US
Telephone Number : 347-446-3038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2019
Last Update Date : 08/06/2021

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Directions to “ CAROLINA ELIZABETH BRAGINSKY ” Practice Location

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