Provider Demographics
NPI:1225748007
Name:BRIGGS, JADZIA MIRANDA (BA AND MA SPECIAL ED)
Entity Type:Individual
Prefix:
First Name:JADZIA
Middle Name:MIRANDA
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:BA AND MA SPECIAL ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8007 AVENUE K
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-4201
Mailing Address - Country:US
Mailing Address - Phone:718-536-9264
Mailing Address - Fax:
Practice Address - Street 1:157A VANDENBURGH PL # 157A
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-6047
Practice Address - Country:US
Practice Address - Phone:718-536-9264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist