Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM IONA BRAVO, MINISTER OF RELIGION
Active Sole ProprietorFoot & Ankle Surgery · SAINT ALBANS, NY
Registration Details
- NPI Number
- 1396440814
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 3, 2023 (3.0500110427158 yrs)
- Last Updated
- Apr 3, 2023
- License
-
00532762 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19038 118TH AVESAINT ALBANS, NY, 114123341Browse NY providers · Browse ZIP 11412
- Phone
- 7186004241
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.