Individual
DR. KATHLEEN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(718) 613-4000
Mailing address
3 TOMPKINS PL, HEMPSTEAD, NY 11550-7032
(917) 693-7096
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
525389
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402173
NY
Other
Enumeration date
03/22/2009
Last updated
02/02/2021
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