Provider Demographics
NPI:1144595646
Name:SEORTI, BRENDA SHARON (RN)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:SHARON
Last Name:SEORTI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:75 BROAD ST
Mailing Address - Street 2:SUITE 1206
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10004-2415
Mailing Address - Country:US
Mailing Address - Phone:212-825-9008
Mailing Address - Fax:212-825-9095
Practice Address - Street 1:75 BROAD ST
Practice Address - Street 2:SUITE 1206
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-2415
Practice Address - Country:US
Practice Address - Phone:212-825-9008
Practice Address - Fax:212-825-9095
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-16
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY281891163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool