Provider Demographics
NPI:1659412088
Name:BRAMAN, JUDITH GSCHWIND (DPT)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:GSCHWIND
Last Name:BRAMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 576
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-0576
Mailing Address - Country:US
Mailing Address - Phone:315-793-1878
Mailing Address - Fax:315-793-1868
Practice Address - Street 1:104 NEW HARTFORD SHOPPING CTR
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-1618
Practice Address - Country:US
Practice Address - Phone:315-793-1878
Practice Address - Fax:315-793-1868
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2018-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012953-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY012953-1OtherNYS-PT-REGISTRATION #
NYRA8412Medicare ID - Type Unspecified11-01-2005