Individual
DR. JOHN C BRAICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
84 BROAD ST, GLENS FALLS, NY 12801-4381
(518) 798-9538
(518) 798-9576
Mailing address
84 BROAD ST, GLENS FALLS, NY 12801-4381
(518) 798-9538
(518) 798-9576
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
125390
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00371031
—
NY
Enumeration date
07/17/2006
Last updated
01/26/2012
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