Individual
DIANA BRAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
622 W 168TH ST STE VC260, NEW YORK, NY 10032-3720
(212) 305-6059
Mailing address
622 W 168TH ST STE VC260, NEW YORK, NY 10032-3720
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
321988-01
NY
Other
Enumeration date
09/09/2015
Last updated
06/23/2023
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