Individual provider · NPI-1

Alexis Braithwaite

Specialist/Technologist, Athletic Trainer · Brooklyn, NY

NPI number1992211239
StatusActive
Last updated in NPPESDec 22, 2017

Details

NPI
1992211239
Entity type
Individual (NPI-1)
Name
Alexis Braithwaite
Sex
Female
Sole proprietor
No
Enumeration date
Dec 22, 2017
Last updated
Dec 22, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer2000030393NYYes

Practice location

221 E 37th St
Brooklyn, NY 11203-2807

Phone 347-907-2223

Mailing address

221 E 37th St
Brooklyn, NY 11203-2807

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