Dederie Brown
Individual provider Active NPI Case Manager/Care Coordinator · Glendale, NY
NPI 1669733663 · NPPES record last updated Jun 6, 2012
Key facts
- NPI
- 1669733663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 8866 Myrtle Ave
Glendale, NY 11385-7857 - Phone
- (646) 285-2426
- Fax
- (718) 205-1953
- NPI assigned
- Jun 6, 2012
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
8866 Myrtle Ave
Glendale, NY 11385-7857
Mailing address
8866 Myrtle Ave
Glendale, NY 11385-7857
Phone (646) 285-2426
Other providers in Glendale, NY
- Brand Medical Supply, Inc.
- Marc Alan Brenner
- Ted Brezel
- Glenda Bria
- Emilyn Brodsky
- Tiana Brown
- Diego Buen
- Tara Bunnenberg
- Tia E Burgess
- Mark Vincent Burke
All providers in Glendale, NY · Case Manager/Care Coordinator in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2012. 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.