Provider Demographics
NPI:1801565049
Name:BRITSKY, DAWN
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:BRITSKY
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 1:235 E 288TH ST
Mailing Address - Street 2:
Mailing Address - City:WILLOWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44095-4669
Mailing Address - Country:US
Mailing Address - Phone:216-337-6336
Mailing Address - Fax:
Practice Address - Street 1:235 E 288TH ST
Practice Address - Street 2:
Practice Address - City:WILLOWICK
Practice Address - State:OH
Practice Address - Zip Code:44095-4669
Practice Address - Country:US
Practice Address - Phone:216-337-6336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty