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Contact Information

PETER E BRAVERMAN, MD
11835 QUEENS BLVD STE 400
FOREST HILLS, NY11375-7211
 Phone: 646-722-7610
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PETER E BRAVERMAN · (Male)

NPI # 1417905761
Status Active
Credentials MD
Entity Individual
Enumeration date 05/05/2006
Last updated 01/12/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D0050873
  • MD Medicaid 427100900
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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