Provider Demographics
NPI:1144750787
Name:BRAID, TAMARA ELLEN LIND (MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:TAMARA
Middle Name:ELLEN LIND
Last Name:BRAID
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4640
Mailing Address - Country:US
Mailing Address - Phone:646-754-1308
Mailing Address - Fax:
Practice Address - Street 1:221 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4640
Practice Address - Country:US
Practice Address - Phone:646-754-1308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS