Individual
DR. LAURA L BRAIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-8049
Mailing address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-4903
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018649-1
NY
Other
Enumeration date
07/21/2010
Last updated
09/21/2015
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