Provider Demographics
NPI:1407027485
Name:BROWN, BRENDA JOYCE
Entity Type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:JOYCE
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 MAPLE ST
Mailing Address - Street 2:APT 9A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-5133
Mailing Address - Country:US
Mailing Address - Phone:718-755-2491
Mailing Address - Fax:
Practice Address - Street 1:350 FIFTH AVE ONWARD HEALTHCARE THE EMPIRE STATE BUILDI
Practice Address - Street 2:SUITE 5115
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10118
Practice Address - Country:US
Practice Address - Phone:866-696-8773
Practice Address - Fax:212-928-9545
Is Sole Proprietor?:No
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0038651224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant