Provider Demographics
NPI:1982882536
Name:ISRAEL M.BRAFMAN, M.D., P.C.
Entity Type:Organization
Organization Name:ISRAEL M.BRAFMAN, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-471-2455
Mailing Address - Street 1:1159 BEACH 9TH ST
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-4809
Mailing Address - Country:US
Mailing Address - Phone:718-471-2455
Mailing Address - Fax:718-471-1320
Practice Address - Street 1:1159 BEACH 9TH ST
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-4809
Practice Address - Country:US
Practice Address - Phone:718-471-2455
Practice Address - Fax:718-471-1320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty