Individual
SUSAN BROCKMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(718) 270-4435
Mailing address
33 IRVING PL, LYNBROOK, NY 11563-4131
(516) 647-0761
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
000827
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000827
NY L ICENSE NUMBER
NY
Enumeration date
11/13/2006
Last updated
08/13/2020
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