Individual
DR. EDWARD A BRAUNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 WADSWORTH AVE, NEW YORK, NY 10033-6102
(646) 627-7544
Mailing address
P.O. BOX 82, MANALAPAN, NJ 07724
(732) 239-2231
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
156004
NY
207W00000X
Ophthalmology Physician
MA43221
NJ
208000000X
Pediatrics Physician
156004
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00795473
—
NY
05
—
0854506
—
NJ
Enumeration date
03/14/2007
Last updated
04/01/2025
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