Individual
MISS KAYLA ROSE BRANCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
520 FRANKLIN AVE, GARDEN CITY, NY 11530-5806
(516) 464-5308
Mailing address
6 FAIRBANKS ST, PORT JEFFERSON STATION, NY 11776-3206
(631) 624-2223
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
027631-01
NY
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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