Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 348228 | NY |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 348228 | NY |
NPI | 1003452533 |
---|---|
Provider Name | Alison Brookhart |
First Address | Binghamton, NY 13905-4198 |
Second Address | Binghamton, NY 13905-4198 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2019 |
Last Update Date | 27/01/2022 |