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Organization

JESSICA BRAVERMAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA BRAVERMAN M.S. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(732) 259-0370
Entity
Organization

Contact information

Practice address
320 E 54TH ST, APARTMENT 6G, NEW YORK, NY 10022-5030
(732) 259-0370
Mailing address
320 E 54TH ST, APARTMENT 6G, NEW YORK, NY 10022-5030
(732) 259-0370

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
41YS00599900
NJ

Other

Enumeration date
11/21/2012
Last updated
11/21/2012
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