Janina Irmelin Braun, DDS

Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Brewster, NY

NPI 1013097872 · NPPES record last updated Jul 21, 2011

Key facts

NPI
1013097872
Entity type
Individual (NPI type 1)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
License
047379 (NY)
Practice address
162 Prospect Hill Rd
Brewster, NY 10509-2373
Phone
(845) 279-8041
Fax
(845) 279-8042
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
047379NYMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 047379 NY Yes

Addresses

Primary practice location

162 Prospect Hill Rd
Brewster, NY 10509-2373

Mailing address

162 Prospect Hill Rd
Brewster, NY 10509-2373
Phone (845) 279-8041

Other providers in Brewster, NY

All providers in Brewster, NY · Orthodontics and Dentofacial Orthopedics Dentistry in New York

Sources for this page

Verify at the official NPI Registry.