Individual
AMIE BRAGANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1647 RYDER ST, BROOKLYN, NY 11234-4306
(917) 379-4787
Mailing address
1647 RYDER ST, BROOKLYN, NY 11234-4306
(917) 379-4787
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
97027
NY
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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