Provider Demographics
NPI:1598276396
Name:BREWSTER, WHITNEY CHENELLE
Entity Type:Individual
Prefix:MS
First Name:WHITNEY
Middle Name:CHENELLE
Last Name:BREWSTER
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 1:1911 DORCHESTER RD APT 6B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-6773
Mailing Address - Country:US
Mailing Address - Phone:646-812-4077
Mailing Address - Fax:
Practice Address - Street 1:61 BRADFORD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-2501
Practice Address - Country:US
Practice Address - Phone:646-812-4077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-19
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator