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Contact Information

MICHELLE BRAVO, MD
6620 FLY ROAD, SUITE 305
EAST SYRACUSE, NY13057
 Phone: 315-464-3938
 Fax: 315-464-5359
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for MICHELLE BRAVO · (Female)

NPI Number 1881191245
Status Active
Credentials MD
Entity Individual
Enumeration date 04/11/2018
Last updated 03/03/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • FL License # ME156776
  • NY License # 342051
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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