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Contact Information

SARAH BRAVO
6 STUYVESANT OVAL APT MA
NEW YORK, NY10009-2400
 Phone: 989-948-3189
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Medicine

261QX0100X
Indicates primary specialty

NPI Profile & details for

NPI Number 1699911784
Entity Organization
Organization subpart 1 Not specified
Enumeration date 12/19/2008
Last updated 11/07/2024 - More than a year ago
Identifiers
IL License # 056.009404
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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