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Individual

BRYAN BRAUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LDO

Contact information

Practice address
4807 CHURCH AVE, BROOKLYN, NY 11203-3334
(718) 282-8363
(718) 282-7630
Mailing address
4807 CHURCH AVE, BROOKLYN, NY 11203-3334
(718) 282-8363
(718) 282-7630

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
0081051
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02265841
NY
Enumeration date
04/04/2006
Last updated
12/03/2023
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