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Individual

DR. JENNIFER BRAEMAR OGILVIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
530 1ST AVE, HCC 6H, NEW YORK, NY 10016-6402
(212) 263-7710
(212) 263-2828
Mailing address
530 1ST AVE, HCC 6H, NEW YORK, NY 10016-6402
(212) 263-7710
(212) 263-2828

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
253188
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A400012438
MEDICARE, PTAN
NY
Enumeration date
02/17/2006
Last updated
11/03/2009
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