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Contact Information

KIM I BRAVO, MINISTER OF RELIGION
19038 118TH AVE
ST. ALBANS, NY11412-3341
 Phone: 718-600-4241
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for KIM I BRAVO · (Female)

NPI Number 1396440814
Status Active
Credentials MINISTER OF RELIGION
Entity Individual
Enumeration date 04/03/2023
Last updated 04/03/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 00532762
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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