Individual
MICHAEL CHARLES BRAUNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 BROADHOLLOW RD, STE 205, FARMINGDALE, NY 11735-4800
(631) 226-6717
(631) 226-6793
Mailing address
1111 BROADHOLLOW RD, STE 205, FARMINGDALE, NY 11735-4800
(631) 226-6717
(631) 226-6793
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
148696
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00903200
—
NY
Enumeration date
11/20/2006
Last updated
01/09/2017
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