Individual
COLLIN BRATHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 AVENUE C, BROOKLYN, NY 11218-4108
(434) 294-2054
Mailing address
702 AVENUE C, BROOKLYN, NY 11218-4108
(434) 294-2054
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
428712-1
NY
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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