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Organization

BRAUER DERMATOLOGY, PLLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEREMY BRAUER MD (MD/PRESIDENT)
(631) 707-9960
Entity
Organization

Contact information

Practice address
3000 WESTCHESTER AVE STE 201, PURCHASE, NY 10577-2563
(631) 707-9960
(631) 706-9040
Mailing address
3000 WESTCHESTER AVE STE 201, PURCHASE, NY 10577-2563
(631) 706-9960
(631) 706-9040

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1417451865
INDIVIDUAL NPI
NY
Enumeration date
02/10/2021
Last updated
05/19/2021
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