Braverman Reporductive Immunology

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

BRAVERMAN REPORDUCTIVE IMMUNOLOGY

Practice address

155 E 76TH St Ste 1H
New York, NY 10021-2810

Phone

(516) 584-8710

Fax

(516) 584-8711

NPI assigned

Nov 4, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrea Vidali, MD

Title

Medical Director

Phone

(516) 584-8710

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1649557695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PINELAWN RD STE 115",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473198",
            "telephone_number": "516-584-8710",
            "fax_number": "516-584-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E 76TH ST STE 1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212810",
            "telephone_number": "516-584-8710",
            "fax_number": "516-584-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVERMAN REPORDUCTIVE IMMUNOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "VIDALI",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-584-8710",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ STATE LICENSE",
            "identifier": "25MA06152700",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY MEDICAL LICENSE",
            "identifier": "195356",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry Brause, M.D.
• Steven Donald Brauser, MD
• Martina Brave, PA-C
• Diana Braver, DO
• Tova Braver
• Alexandra Braverman, LMHC
• Allison Amy Braverman
• Carol Braverman, LAC.
• Eric Randall Braverman, M.D.
• Genna Braverman, MD

• Obstetrics & Gynecology Physician in New York, NY
• Providers in New York, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.