Individual
DR. COLLIN E M BRATHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 MINEOLA BLVD, SUITE 320, MINEOLA, NY 11501-4073
(516) 663-3300
(516) 663-2136
Mailing address
120 MINEOLA BLVD, SUITE 320, MINEOLA, NY 11501-4073
(516) 663-3300
(516) 663-2136
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
211561
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01875290
—
NY
01
—
0199636
GHI
NY
01
—
158053
VYTRA
NY
01
—
23R982
EMPIRE BC BS
NY
01
—
5808725008
CIGNA
NY
01
—
5856167
AETNA
NY
01
—
AA72078
MDNY
NY
01
—
N90256
HEALTHNET
NY
01
—
P3072342
OXFORD FREEDOM PLAN
NY
Enumeration date
09/21/2006
Last updated
02/26/2021
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