Brooke Tenreiro
Individual provider Active NPI Specialist · Yaphank, NY
NPI 1457048811 · NPPES record last updated Apr 18, 2023
Key facts
- NPI
- 1457048811
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 1682619231 (NY)
- Practice address
- 142 Gerard Rd
Yaphank, NY 11980-9772 - Phone
- (631) 559-9784
- NPI assigned
- Apr 18, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1682619231 | NY | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1682619231 | NY | Yes |
Addresses
Primary practice location
142 Gerard Rd
Yaphank, NY 11980-9772
Mailing address
142 Gerard Rd
Yaphank, NY 11980-9772
Phone (631) 559-9784
Other providers in Yaphank, NY
- Sports Physical Therapy Occupationa Therapy and Rehabilitation Servic
- Sports Physical Therapy Occupational Therapy and Rehabilitation Servic
- Wieslawa Zofia Stelzel
- Suffolk County Health Department
- Jared Ian Swartz
- Therapy House Calls PT PC
- Renee Thomas
- Brittni Traina
- Transparency Therapy LCSW P.C.
- Jocelyn Marie Triola
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.