33D2212775 CLIA NUMBER - JEREMY A BRAUER MD PC DBA SPECTRUM SKIN AND LASER

Laboratory Demographics

CLIA Number: 33D2212775

Facility Name: JEREMY A BRAUER MD PC DBA SPECTRUM SKIN AND LASER

Facility Address:
3000 WESTCHESTER AVENUE - SUITE # 201
PURCHASE, NY
ZIP 10577
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Facility Phone Number: 917 841-4111

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1952676959

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name Field Value
CLIA Number 33D2212775
LAB Type Physician Office
Facility Name JEREMY A BRAUER MD PC DBA SPECTRUM SKIN AND LASER
Street 3000 WESTCHESTER AVENUE - SUITE # 201
City PURCHASE
State NY
ZIP 10577
Phone 917 841-4111
CertificateType 2
CertificateEffectiveDate 3/1/2022
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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This page was last updated on: 4/23/2024