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Individual

DR. JONATHAN BRAIMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
106 W UTICA ST, SUITE A, OSWEGO, NY 13126-3059
(315) 343-4436
(315) 343-4437
Mailing address
106 W UTICA STREET, SUITE A, OSWEGO, NY 13126-2525
(315) 343-4436
(315) 343-4437

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
216622
NY
2084N0600X
Clinical Neurophysiology Physician
216622
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02072113
NY
Enumeration date
01/05/2006
Last updated
03/01/2013
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