Individual
ANNE M BROOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
440 W 114TH ST, NEW YORK, NY 10025-1796
(612) 432-8882
Mailing address
440 W 114TH ST, NEW YORK, NY 10025-1796
(612) 432-8882
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
06/04/2020
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