Individual provider · Type 1 NPI

Collin E. M. Brathwaite, MD

Specialist · Mineola, NY

NPI number 1619075512 Active

Practice location

120 Mineola Blvd, Suite 320
Mineola, NY 11501-4073

Fax (516) 663-2136

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X211561 (NY)

Specialist: 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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About NPI 1619075512

Collin E. M. Brathwaite, MD's National Provider Identifier is 1619075512, issued on Sep 21, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mineola, NY. The record was last updated on Feb 26, 2021.