Individual
MR. JEFFREY A BRAISTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.S.R.T.,R
Contact information
Practice address
384 CRYSTAL RUN RD, SUITE 201, MIDDLETOWN, NY 10941-4013
(845) 692-8780
(845) 692-3439
Mailing address
384 CRYSTAL RUN RD, SUITE 201, MIDDLETOWN, NY 10941-4013
(845) 692-8780
(845) 692-3439
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
465880
NY
Other
Enumeration date
03/05/2010
Last updated
03/05/2010
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