Organization
COLLIN EM BRATHWAITE MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA BRUNO (PRA CTICE ADMINISTRATOR)
(631) 265-7000
Entity
Organization
Contact information
Practice address
48 ROUTE 25A, SUITE LL7, SMITHTOWN, NY 11787-1431
(631) 265-7000
(631) 784-7410
Mailing address
48 ROUTE 25A, SUITE LL7, SMITHTOWN, NY 11787-1431
(631) 265-7000
(631) 784-7410
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
211561
NY
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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