Marietta Brodhurst CASAC

  • NPI 1265511646
According to our database, the NPI number for Marietta Brodhurst CASAC is 1265511646 and activated since 17 years ago. Marietta Brodhurst CASAC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 8268 164th St, Jamaica, NY 11432. You can also contact Marietta Brodhurst CASAC via telephone number is (718) 883-3225. Provider NPI information was last updated on 07/08/2007.

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Overview of Marietta Brodhurst CASAC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 11/04/2006
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 013047
  • License State: NY

Provider Mailing Address

  • Address: 7901 Broadway
    Managed Care, D1-01
    Elmhurst, NY 11373
  • Phone: 718-334-1921
  • Fax: 718-334-3432

Provider Practice Location

  • Address: 8268 164th St
    Jamaica, NY 11432
  • Phone: 718-883-3225
  • Fax: 718-883-6193

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 013047
  • License State: NY
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 00246075
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: NY
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Marietta Brodhurst CASAC?
  • A: The npi number for Marietta Brodhurst CASAC is 1265511646.
  • Q: What are Marietta Brodhurst CASAC's specialties?
  • A: Marietta Brodhurst CASAC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Marietta Brodhurst CASAC?
  • A: The medical license number for Marietta Brodhurst CASAC is 013047 and issued in NY in USA.
  • Q: Where is Marietta Brodhurst CASAC practice location?
  • A: Marietta Brodhurst CASAC is practicing at 8268 164th St, Jamaica, NY 11432.
  • Q: How to contact Marietta Brodhurst CASAC?
  • A: You can contact Marietta Brodhurst CASAC via 718-883-3225.