Lyndie Brann, CRPA

Individual provider Active NPI Peer Specialist · Hogansburg, NY

NPI 1699460683 · NPPES record last updated Apr 6, 2023

Key facts

NPI
1699460683
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
License
CRPA-5588 (NY)
Practice address
Saint Regis Mohawk Tribe Health Services
404 State Route 37
Hogansburg, NY 13655-3109
Phone
(518) 358-3141
Fax
(518) 358-9175
NPI assigned
Apr 6, 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

LicenseStateTypeSpecialty
CRPA-5588NYMDPeer Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X CRPA-5588 NY Yes

Addresses

Primary practice location

Saint Regis Mohawk Tribe Health Services
404 State Route 37
Hogansburg, NY 13655-3109

Mailing address

Saint Regis Mohawk Tribe Health Services
404 State Route 37
Hogansburg, NY 13655-3109
Phone (518) 358-3141

Other providers in Hogansburg, NY

All providers in Hogansburg, NY · Peer Specialist in New York

Sources for this page

Verify at the official NPI Registry.