Individual
DR. ERIC RANDALL BRAVERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
304 PARK AVE S, 6TH FLOOR, NEW YORK, NY 10010-4301
(212) 213-6155
(212) 529-6129
Mailing address
400 CHAMBERS ST, 17K, NEW YORK, NY 10282-1003
(212) 213-6155
(212) 684-0692
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
159238
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159238
LICENSE
NY
Enumeration date
03/27/2007
Last updated
07/08/2007
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