Individual
MRS. KAREN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
410 LAKEVILLE RD STE 206, NEW HYDE PARK, NY 11042-1122
(718) 470-7644
(718) 470-1232
Mailing address
1830 JANE ST, WANTAGH, NY 11793-3604
(516) 679-0068
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307871-1
NY
363LG0600X
Gerontology Nurse Practitioner
F307871-1
NY
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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