Individual
MS. DONNA MARIE BROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2 FARM LN, GREAT NECK, NY 11020-1314
(516) 359-8358
Mailing address
2 FARM LN, GREAT NECK, NY 11020-1314
(516) 359-8358
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F336718-1
NY
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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