YUNIQUE DESIRE-BRISARD FNP LNC


Address: 380 Avenue U, Brooklyn, NY 11223-4046
Phone: 6466481160

YUNIQUE DESIRE-BRISARD FNP LNC (NPI# 1568712552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568712552
Entity Type Organization
Organization Name YUNIQUE DESIRE-BRISARD FNP LNC
Practice Address 380 Avenue U
Brooklyn
NY 11223-4046
Mailing Address 1339 E 104th St
Brooklyn
NY 11236-4507
Practice Telephone 6466481160
Enumeration Date 2012-09-17
Last Update Date 2012-09-17
Authorized Official Name YUNIQUE DESIRE-BRISARD (EXECUTIVE DIRECTOR)
Authorized Official Telephone 6466481160
Authorized Official Credential NP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
333149 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 380 AVENUE U
City BROOKLYN
State NY
Zip Code 11223-4046

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144308131 Wolfgang Joseph Jaworsky Podiatrist 380 Avenue U, Suite 1l, Brooklyn, NY 11223-4046 2006-11-01
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1811108525 Kings Highway Podiatry Podiatrist 380 Avenue U, Suite 1l, Brooklyn, NY 11223-4046 2007-05-24

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKLYN
Zip Code 11223

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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