Provider Demographics
NPI:1447367784
Name:BRAUNSCHWEIG, RALPH J (DMD)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:J
Last Name:BRAUNSCHWEIG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 WESTVALE LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-6618
Mailing Address - Country:US
Mailing Address - Phone:718-268-8989
Mailing Address - Fax:
Practice Address - Street 1:70-31A 108TH STREET
Practice Address - Street 2:SUITE 9
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375
Practice Address - Country:US
Practice Address - Phone:718-268-8989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0315381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice