Provider Demographics
NPI:1568488948
Name:BRAGINSKY, ASYA (PA-C)
Entity Type:Individual
Prefix:MS
First Name:ASYA
Middle Name:
Last Name:BRAGINSKY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:PO BOX 16335
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-0435
Mailing Address - Country:US
Mailing Address - Phone:215-969-7510
Mailing Address - Fax:215-969-7513
Practice Address - Street 1:8012 FRANKFORD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19136-2616
Practice Address - Country:US
Practice Address - Phone:215-516-6830
Practice Address - Fax:215-333-2748
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA052067363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical