Individual
BROOKE M TENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5010 STATE HIGHWAY 30 STE 204, AMSTERDAM, NY 12010-7532
(518) 842-8185
Mailing address
790 STONE ARABIA RD, FORT PLAIN, NY 13339-1925
(518) 774-1817
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F357184-01
NY
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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