Individual
MR. CHARLES BRAVERMAN
Active
Individual
MR. CHARLES BRAVERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.AC.
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
NY-001560-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TID: 27-1245456
NYS
NY
Enumeration date
04/21/2014
Last updated
04/21/2014
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