Provider Demographics
NPI:1861977142
Name:BIRCH MEDICAL PLLC
Entity type:Organization
Organization Name:BIRCH MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATTENDING
Authorized Official - Prefix:DR
Authorized Official - First Name:SABINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAUDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-593-6820
Mailing Address - Street 1:60 OCEANA DR W APT 10D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6664
Mailing Address - Country:US
Mailing Address - Phone:917-593-6820
Mailing Address - Fax:
Practice Address - Street 1:60 OCEANA DR W APT 10D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6664
Practice Address - Country:US
Practice Address - Phone:917-593-6820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-02
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty