Individual
JONATHAN ANTHONY BRACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
127 NORTH ST, BATAVIA, NY 14020-1631
(585) 343-6030
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-1900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
309178
NY
208M00000X
Hospitalist Physician
309178
NY
Other
Enumeration date
03/21/2019
Last updated
04/30/2024
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