Individual
TYRAH BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
365 SACKMAN ST APT 7E, BROOKLYN, NY 11212-7610
(347) 586-8999
Mailing address
365 SACKMAN ST APT 7E, BROOKLYN, NY 11212-7610
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYCPS-5379
NY
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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