Provider Demographics
NPI:1558085480
Name:BRITO, TOMIRIS M
Entity Type:Individual
Prefix:
First Name:TOMIRIS
Middle Name:M
Last Name:BRITO
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 1:244 W BROADWAY FL 2
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07522-1580
Mailing Address - Country:US
Mailing Address - Phone:862-336-0407
Mailing Address - Fax:
Practice Address - Street 1:244 W BROADWAY FL 2
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07522-1580
Practice Address - Country:US
Practice Address - Phone:862-336-0407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor