Individual
WANDER BRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
284 MAIN ST, SUITE 320, SCHOHARIE, NY 12157
(518) 295-8336
Mailing address
284 MAIN ST, SUITE 320, SCHOHARIE, NY 12157
(518) 295-8336
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
116066
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00555784
—
NY
Enumeration date
11/17/2006
Last updated
07/08/2007
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