Individual
HANNAH R BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-2862
Mailing address
1925 EASTCHESTER RD APT 19B, BRONX, NY 10461-2106
(347) 423-4556
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
315455
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KE41296J
—
NY
Enumeration date
04/06/2019
Last updated
07/06/2022
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