Provider Demographics
NPI:1760712707
Name:BRAYLOVSKY, SOFIA ELIZABETH (RPA-C)
Entity Type:Individual
Prefix:
First Name:SOFIA
Middle Name:ELIZABETH
Last Name:BRAYLOVSKY
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Gender:F
Credentials:RPA-C
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Mailing Address - Street 1:535 OCEAN PKWY APT LA
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-5941
Mailing Address - Country:US
Mailing Address - Phone:718-851-7765
Mailing Address - Fax:718-851-7743
Practice Address - Street 1:535 OCEAN PKWY APT LA
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-5941
Practice Address - Country:US
Practice Address - Phone:718-851-7765
Practice Address - Fax:718-851-7743
Is Sole Proprietor?:No
Enumeration Date:2010-01-13
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY013657-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical