HomeNPI Verification

NPI Verification

National Provider Identifier: 1174753743

Jillene Myrnelle Brathwaite, D.o.

Individual Provider

Credentials

D.O.

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (3)

Internal Medicine

Code: 207R00000X

Hospitalist

Code: 208M00000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Practice Address

346 GRAND AVE

JOHNSON CITY, NY 137902580

Phone: 607-729-8156

NPI Enumeration Date

July 17, 2009

NPI Number

1174753743

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry