Individual
JASON BRAITHWAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10 PARK AVE, SUITE 2D, NEW YORK, NY 10016-4338
(646) 468-3325
(212) 918-9306
Mailing address
5005 43RD AVE, APT. 2A, WOODSIDE, NY 11377-4471
(646) 468-3325
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
009810
NY
Other
Enumeration date
01/30/2007
Last updated
03/01/2009
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