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Dr. Collin E M Brathwaite, MD
Specialist in Mineola, New York
NPI 1619075512

Collin E M Brathwaite is a Specialist based in Mineola, NY. Collin E M Brathwaite practices in Mineola, NY and has the professional credentials of MD. The NPI Number for Collin E M Brathwaite is 1619075512 and holds a License No. 211561 (New York).

The current practice location address for Collin E M Brathwaite is 120 Mineola Blvd, Mineola, NY and can be reached out via phone at 516-663-3300 and via fax at 516-663-2136.

Location: 120 Mineola Blvd, Mineola, NY, 11501-4073
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619075512
Provider Name
Collin E M Brathwaite
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
120 Mineola Blvd, Mineola, NY, 11501-4073
Phone Number
516-663-3300
Fax Number
516-663-2136
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01875290 05 NY
0199636 01 NY GHI
N90256 01 NY HEALTHNET
P3072342 01 NY OXFORD FREEDOM PLAN
158053 01 NY VYTRA
AA72078 01 NY MDNY
23R982 01 NY EMPIRE BC BS
5856167 01 NY AETNA
5808725008 01 NY CIGNA
institution
Provider Business Practice Location Address Details
Address
120 Mineola Blvd
City
Mineola
State
New York
Zip
11501-4073
Phone Number
516-663-3300
Fax Number
516-663-2136
person
Provider Business Mailing Address Details
Address
120 Mineola Blvd
City
Mineola
State
New York
Zip
11501-4073
Phone Number
516-663-3300
Fax Number
516-663-2136
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
211561 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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