Individual
MS. BROOKE DANIELLE SCRUGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
489 5TH AVE FL 3, NEW YORK, NY 10017-6145
(415) 658-6791
Mailing address
489 5TH AVE FL 3, NEW YORK, NY 10017-6145
(443) 739-6316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
025525
NY
363A00000X
Physician Assistant
Primary
C0005011
MD
Other
Enumeration date
03/25/2013
Last updated
05/20/2026
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