Bravo, Melanie A
Bravo, Melanie A is an sole proprietor health care provider with primary practice located at 1650 E 91St St , Brooklyn NY 11236-5218. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Bravo, Melanie A can be contacted via phone (718) 209-1006.Contact Information
Primary practice address
1650 E 91St St
Brooklyn NY 11236-5218
Phone: (718) 209-1006
Fax: (718) 209-0510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 136611 | New York |
Profile Details
| NPI number | 1588790018 |
|---|---|
| LBN Legal business name | Bravo, Melanie A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Jul 21st, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588790018 | NPPES |
| New York | MEDICAID | 00352552 |
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