Provider Demographics
NPI:1780312280
Name:BROBBEY, YAW O
Entity type:Individual
Prefix:
First Name:YAW
Middle Name:O
Last Name:BROBBEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 E 25TH ST APT 2D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-7726
Mailing Address - Country:US
Mailing Address - Phone:347-686-5153
Mailing Address - Fax:
Practice Address - Street 1:410 E 25TH ST APT 2D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-7726
Practice Address - Country:US
Practice Address - Phone:347-686-5153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool