MELANIE A BRAVO


Address: 1650 E 91st St, Brooklyn, NY 11236-5218
Phone: 7182091006

MELANIE A BRAVO (NPI# 1588790018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588790018
Entity Type Individual
Full Name MELANIE A BRAVO
Practice Address 1650 E 91st St
Brooklyn
NY 11236-5218
Practice Telephone 7182091006
Practice Fax Number 7182090510
Mailing Telephone 7182091006
Mailing Fax Number 7182090510
Enumeration Date 2007-02-26
Last Update Date 2015-07-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
136611 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 00352552 05

Office Location

Street Address 1650 E 91ST ST
City BROOKLYN
State NY
Zip Code 11236-5218

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1154898880 Shanice A Mcghie Licensed Practical Nurse 718 East 84th Street, Brooklyn, NY 11236 2018-10-31
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1942707161 Suzette Rebecca Ryan Registered Nurse 1009 E 86th Street, 3rd Floor, Brooklyn, NY 11236 2018-04-13
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699103879 Pediatric&adolescent Medical Care Pllc Pediatrics 450 76th St, Brooklyn, NY 11209-3204 2013-10-24
1962837377 Mariam Machabeli Pediatrics 765 Grand St, Brooklyn, NY 11211-5797 2013-09-05
1376804096 Melissa Ellen Dere Pediatrics 732 5th Ave, Brooklyn, NY 11232 2012-05-30
1912169392 Gates Pediatrics PC Pediatrics 1532 Gates Ave, Brooklyn, NY 11237-5727 2008-06-27
1447308697 Prudence A Osei-tutu Sr. Pediatrics 84 Linden Blvd, Brooklyn, NY 11226-3301 2007-01-06
1114084399 Ada Ruderman Pediatrics 1208 Avenue Z, Brooklyn, NY 11235-4302 2007-01-03
1962560615 Marie France Conde Pediatrics 350 Ocean Ave, Brooklyn, NY 11226-1362 2006-12-05
1497826267 Leonore Beth Max Pediatrics 1103 Cortelyou Road, Brooklyn, NY 11218-5303 2006-11-13
1356424915 Jack Sadacka Pediatrics 813 Quentin Rd Ste 202, Brooklyn, NY 11223-2220 2006-10-24
1629168604 Boris Marshalik Pediatrics 2966 Ocean Ave, Brooklyn, NY 11235-3202 2006-10-13
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Competitor

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City BROOKLYN
Zip Code 11236

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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