Individual
MISS JOZAN ERICA BRATHWAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-2020
Mailing address
5 HARGROVE DR, STONY BROOK, NY 11790-2305
(631) 942-6738
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G0037776
ZZ
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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