Individual
BRAULIO CARRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(914) 654-6543
Mailing address
4422 3RD AVE, BRONX, NY 10457-2545
(914) 654-6543
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
167172
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00970461
—
NY
Enumeration date
03/23/2007
Last updated
07/08/2007
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