Provider Demographics
NPI:1417097924
Name:BRAUT, DANIEL J (ATC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:J
Last Name:BRAUT
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 STEAMBOAT RD
Mailing Address - Street 2:O'HARA HALL
Mailing Address - City:KINGS POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11024-1634
Mailing Address - Country:US
Mailing Address - Phone:516-726-5271
Mailing Address - Fax:
Practice Address - Street 1:300 STEAMBOAT RD
Practice Address - Street 2:O'HARA HALL
Practice Address - City:KINGS POINT
Practice Address - State:NY
Practice Address - Zip Code:11024-1634
Practice Address - Country:US
Practice Address - Phone:516-726-5271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer