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Individual

CAITLIN BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1526 WALDEN AVE, SUITE 400, CHEEKTOWAGA, NY 14225-4965
(716) 895-6700
(716) 332-4488
Mailing address
1526 WALDEN AVE, SUITE 400, CHEEKTOWAGA, NY 14225-4965
(716) 895-6700
(716) 332-4488

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
676627-1
NY
363L00000X
Nurse Practitioner
402828
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402828-01
NY

Other

Enumeration date
11/21/2013
Last updated
01/10/2023
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