Braico, Lia B

Braico, Lia B is an individual health care provider with primary practice located at 161 Carey Rd , Queensbury NY 12804-7821. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Braico, Lia B can be contacted via phone (518) 824-8610.

Contact Information

Primary practice address
161 Carey Rd Queensbury NY 12804-7821
Phone: (518) 824-8610
Fax: (518) 824-2390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F340676 New York

Profile Details

NPI number 1336692722
LBN Legal business name Braico, Lia B
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2016
Last updated Nov 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336692722 NPPES
New York MEDICAID 04503288

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