Individual
DR. KEVIN CAJETAN DE BRAGANCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1275 YORK AVE, DEPARTMENT OF PEDIATRICS, NEW YORK, NY 10065-6007
(212) 639-3449
Mailing address
1275 YORK AVE, DEPARTMENT OF PEDIATRICS, NEW YORK, NY 10065-6007
(212) 639-6688
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
235819
NY
208000000X
Pediatrics Physician
MD035641
DC
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
235819
NY
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD035641
DC
Other
Enumeration date
11/08/2007
Last updated
06/10/2010
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