Individual
MISS GEORGIEANN BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.P
Contact information
Practice address
871 E PARK AVE, LONG BEACH, NY 11561-2709
(516) 889-8844
(516) 889-8857
Mailing address
871 E PARK AVE, LONG BEACH, NY 11561-2709
(516) 889-8844
(516) 889-8857
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400428-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02112485
—
NY
Enumeration date
10/25/2006
Last updated
04/07/2016
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