Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andre Pelham-Braithwaite, PA-C

Individual provider Physician Assistant · NPI 1215029848

Andre Pelham-Braithwaite, PA-C is a Physician Assistant in New York, New York. Works from 2 locations. Licensed in Connecticut and New York.

Licensed in
CT, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

17 E 102nd St
New York, NY 10029-5204
Phone: (212) 241-7270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 342 Stanhope St, Brooklyn, NY 11237-4434 — (917) 202-4038

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 008082 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 001093 (CT)

Record details

NPI number1215029848
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 29, 2006
Last updated in NPPESMarch 17, 2018

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