Most Relevant Information
Provider Data
| NPI Number: | 1003641200 |
| Provider Name: | VANESSA BRAITHWAITE |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/06/2024 |
| Last Updated: | 09/06/2024 |
Provider Practice Location
4 GILDER ST STE 2
LARCHMONT
NY
105382748
Practice Location Phone/Fax
| Phone: | 8389108150 |
| Fax: |
Provider Mailing Location
4 GILDER ST STE 2
LARCHMONT
NY
105382748
Provider Mailing Phone/Fax
| Phone: | 8389108150 |
| Fax: |