Individual
ANDRE PELHAM-BRAITHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
17 E 102ND ST, NEW YORK, NY 10029-5204
(212) 241-7270
Mailing address
1 GUSTAVE L LEVY PL, BOX 3000, NEW YORK, NY 10029-6504
(212) 987-3100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001093
CT
363A00000X
Physician Assistant
Primary
008082
NY
Other
Enumeration date
09/29/2006
Last updated
03/17/2018
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