Luis A Bracero, MD
Luis A Bracero, MD is an Obstetrics/Gynecology in Bay Shore, New York. Graduated from Icahn School of Medicine at Mount Sinai in 1978, 48 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York and West Virginia.
- Years since qualifying
- 48
- Trained at
- Icahn School of Medicine at Mount Sinai
- Licensed in
- NY, WV
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
376 E Main St Ste 202Bay Shore, NY 11706-8441
Phone: (631) 396-7000
Fax: (631) 396-7026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Maternal & Fetal Medicine Physician (primary) | Taxonomy 207VM0101X · Licence 139250 (NY) |
|---|---|
| Obstetrics & Gynecology Physician | Taxonomy 207V00000X · Licence 21830 (WV) |
Record details
| NPI number | 1619955960 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | January 6, 2006 |
| Last updated in NPPES | November 3, 2023 |
| Certification date | July 13, 2023 |
| Mailing address | 301-6 Great Teays Blvd, Scott Depot, WV 25560 |
Medicare enrollment
| Medicare specialty | OBSTETRICS/GYNECOLOGY |
|---|---|
| Medical school | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI |
| Graduated | 1978 (48 years in practice) |
| Group practice | North Shore-Lij Medical Pc — 6350 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Bay Shore
-
Dr. Matthew J. Blitz, MD, MBA
376 E Main St Ste 202, Bay Shore, NY 11706 · (631) 396-7000