Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 159405 | NY |
NPI | 1235292855 |
---|---|
Provider Name | Dr. George J Braun |
First Address | New York, NY 10016-2505 |
Second Address | New York, NY 10016-2505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
008632546 | (05) | NY |
C 08405 | (02) | NY |