Provider Demographics
NPI:1922250653
Name:DESIRE BRISARD, YUNIQUE AMBER (DNP,APN,FNP)
Entity Type:Individual
Prefix:
First Name:YUNIQUE
Middle Name:AMBER
Last Name:DESIRE BRISARD
Suffix:
Gender:F
Credentials:DNP,APN,FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 COURT ST STE 904
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4440
Mailing Address - Country:US
Mailing Address - Phone:718-373-2563
Mailing Address - Fax:
Practice Address - Street 1:32 COURT ST STE 904
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4440
Practice Address - Country:US
Practice Address - Phone:718-373-2563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-13
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY333149363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily