Individual
ALEXIS BRAITHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 E 37TH ST, BROOKLYN, NY 11203-2807
(347) 907-2223
Mailing address
221 E 37TH ST, BROOKLYN, NY 11203-2807
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000030393
NY
Other
Enumeration date
12/22/2017
Last updated
12/22/2017
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