Braylovsky, Anatoly
Braylovsky, Anatoly is an sole proprietor health care provider with primary practice located at 850 N Main Street Ext Building 2 Suite 1B, Wallingford CT 06492-2400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Braylovsky, Anatoly can be contacted via phone (203) 269-4200.Contact Information
Primary practice address
850 N Main Street Ext Building 2 Suite 1B
Wallingford CT 06492-2400
Phone: (203) 269-4200
Fax: (203) 269-8800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 040951 | Connecticut |
Profile Details
| NPI number | 1023004124 |
|---|---|
| LBN Legal business name | Braylovsky, Anatoly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Feb 16th, 2010 - about 14 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 | 1023004124 | NPPES |
| Connecticut | MEDICAID | 001409516 |
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