Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 9609-1 | NY |
N | 2251E1200X | Ergonomics | 9609-1 | NY |
N | 225XE1200X | Ergonomics | 9609-1 | NY |
N | 2251X0800X | Physical Therapist - Orthopedic | 9609-1 | NY |
NPI | 1538331996 |
---|---|
Provider Name | Mr. Steven L Braverman |
First Address | New York, NY 10123-0101 |
Second Address | New York, NY 10123-0101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2008 |
Last Update Date | 26/03/2008 |