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Individual

DR. COLLIN E M BRATHWAITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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
Update your record

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