Individual
DR. KEITH EMANUEL BRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
100 W 12TH ST APT 1D, NEW YORK, NY 10011
(212) 390-8399
(509) 275-3412
Mailing address
100 W 12TH ST APT 1D, NEW YORK, NY 10011-8241
(212) 390-8399
(509) 275-3412
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056828
NY
Other
Enumeration date
06/27/2012
Last updated
07/24/2018
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