Provider Demographics
NPI:1790772333
Name:LEVINE-BRILL, ESTHER RUTH (PHD, APRN, BC)
Entity Type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:RUTH
Last Name:LEVINE-BRILL
Suffix:
Gender:F
Credentials:PHD, APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 DEGRAW ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-4712
Mailing Address - Country:US
Mailing Address - Phone:718-624-0684
Mailing Address - Fax:
Practice Address - Street 1:96 JORALEMON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4032
Practice Address - Country:US
Practice Address - Phone:718-979-5339
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF303232363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health