Provider Demographics
NPI:1164839437
Name:BRAUNSTEIN, ARTHUR TODD
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:TODD
Last Name:BRAUNSTEIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ARTHUR
Other - Middle Name:
Other - Last Name:TODD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:174 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-4435
Mailing Address - Country:US
Mailing Address - Phone:914-409-3070
Mailing Address - Fax:
Practice Address - Street 1:174 MAIN ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-4435
Practice Address - Country:US
Practice Address - Phone:914-409-3070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026850-1225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist