Provider Demographics
NPI:1063450286
Name:BRAUSER, STEVEN DONALD (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DONALD
Last Name:BRAUSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W 18TH ST STE CF1
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-5480
Mailing Address - Country:US
Mailing Address - Phone:212-243-5900
Mailing Address - Fax:
Practice Address - Street 1:100 W 18TH ST STE CF1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-5480
Practice Address - Country:US
Practice Address - Phone:212-243-5900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG50086207L00000X
NY197761-01207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G500860Medicaid
A51562Medicare UPIN
00G500860Medicare ID - Type Unspecified