Provider Demographics
NPI:1831429398
Name:BROCKS, PATRICIA M
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:M
Last Name:BROCKS
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 1:21 FRANCISCAN WAY
Mailing Address - Street 2:
Mailing Address - City:GARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10524-3432
Mailing Address - Country:US
Mailing Address - Phone:845-335-1000
Mailing Address - Fax:
Practice Address - Street 1:21 FRANCISCAN WAY
Practice Address - Street 2:
Practice Address - City:GARRISON
Practice Address - State:NY
Practice Address - Zip Code:10524-3432
Practice Address - Country:US
Practice Address - Phone:845-335-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)