Organization
BRAVERMAN REPORDUCTIVE IMMUNOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA VIDALI MD (MEDICAL DIRECTOR)
(516) 584-8710
Entity
Organization
Contact information
Practice address
155 E 76TH ST STE 1H, NEW YORK, NY 10021-2810
(516) 584-8710
(516) 584-8711
Mailing address
135 PINELAWN RD STE 115, MELVILLE, NY 11747-3198
(516) 584-8710
(516) 584-8711
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195356
NY MEDICAL LICENSE
NY
01
—
25MA06152700
NJ STATE LICENSE
NJ
Enumeration date
11/04/2011
Last updated
05/31/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us