Braverman, Peter E
Braverman, Peter E is an individual health care provider with primary practice located at 11835 Queens Blvd Ste 400 , Forest Hills NY 11375-7211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Braverman, Peter E can be contacted via phone (646) 722-7610.Contact Information
Primary practice address
11835 Queens Blvd Ste 400
Forest Hills NY 11375-7211
Phone: (646) 722-7610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0050873 | Maryland |
Profile Details
| NPI number | 1417905761 |
|---|---|
| LBN Legal business name | Braverman, Peter E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Jan 12th, 2024 - about 10 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417905761 | NPPES |
| Maryland | MEDICAID | 427100900 |
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