Provider Demographics
NPI:1821302746
Name:BROWN-POLLARD, TERRYANN ALICIA (R,N)
Entity Type:Individual
Prefix:MRS
First Name:TERRYANN
Middle Name:ALICIA
Last Name:BROWN-POLLARD
Suffix:
Gender:F
Credentials:R,N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 MORNINGSIDE AVE
Mailing Address - Street 2:APT 4D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-4829
Mailing Address - Country:US
Mailing Address - Phone:917-749-9767
Mailing Address - Fax:
Practice Address - Street 1:8931 161ST ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-6102
Practice Address - Country:US
Practice Address - Phone:718-206-0218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22606573163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse