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Contact Information

LUIS A BRACERO, MD
376 E MAIN ST STE 202
BAY SHORE, NY11706-8441
 Phone: 631-396-7000
 Fax: 631-396-7026
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for LUIS A BRACERO · (Male)

NPI # 1619955960
Status Active
Credentials MD
Entity Individual
Enumeration date 01/06/2006
Last updated 11/03/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 139250
  • WV License # 21830
Hospital affiliation(s) Not Available
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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