Individual
BASHA BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
45 LUDLOW ST STE 402, YONKERS, NY 10705-1949
(914) 570-9000
Mailing address
45 LUDLOW ST STE 402, YONKERS, NY 10705-1949
(914) 570-9000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
856827
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F406144
NY
Other
Enumeration date
11/28/2022
Last updated
11/20/2024
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