Individual
VALERIE BRAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 SUNRISE HWY STE 3, LYNBROOK, NY 11563-3039
(516) 344-5964
Mailing address
49 N CENTRAL AVE APT 202, VALLEY STREAM, NY 11580-3860
(718) 710-3856
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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