Provider Demographics
NPI:1063484277
Name:BRAUN, ERICH (MD)
Entity Type:Individual
Prefix:
First Name:ERICH
Middle Name:
Last Name:BRAUN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:110 S BEDFORD RD
Mailing Address - Street 2:CAREMOUNT MEDICAL PC
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3446
Mailing Address - Country:US
Mailing Address - Phone:914-241-1050
Mailing Address - Fax:914-242-1516
Practice Address - Street 1:664 STONELEIGH AVE STE 200
Practice Address - Street 2:MKMG - OPHTHALMOLOGY
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-3995
Practice Address - Country:US
Practice Address - Phone:845-279-3900
Practice Address - Fax:845-279-7730
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2016-11-15
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Provider Licenses
StateLicense IDTaxonomies
NY226160-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02753639Medicaid
NYP00326165OtherRR MEDICARE
NYA400014622Medicare PIN
NY0277170001Medicare NSC
NYP00326165OtherRR MEDICARE
NY0537A710Medicare PIN