Bravin, Eric N

Bravin, Eric N is an individual health care provider with primary practice located at 1 Atwell Rd , Cooperstown NY 13326-1301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Bravin, Eric N can be contacted via phone (607) 547-3336.

Contact Information

Primary practice address
1 Atwell Rd Cooperstown NY 13326-1301
Fax: (607) 547-6541
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 203237 New York
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 203237 New York

Profile Details

NPI number 1053375279
LBN Legal business name Bravin, Eric N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Mar 17th, 2008 - about 16 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 1053375279 NPPES
New York MEDICAID 02207156

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