NPIMap

Organization Active NPI

Yunique Desire-Brisard FNP,LNC

  • Primary Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1700337524
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
F333149 Issued in NY
Legal business name
YUNIQUE DESIRE-BRISARD FNP,LNC
Practice address
1339 E 104TH St
Brooklyn, NY 11236-4507
Phone
(718) 373-2563
NPI assigned
Oct 17, 2016
Last updated
Oct 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yunique A Desire-Brisard, FNPNPI 1922250653
Title
Family Nurse Practitioner
Phone
(719) 373-2563

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X F333149 NY Primary

Addresses

Primary practice location

1339 E 104TH St
Brooklyn, NY 11236-4507

Mailing address

1339 E 104TH St
Brooklyn, NY 11236-4507
Phone (718) 373-2563

National Provider Directory

National Provider Directory
Tax ID family
Yunique a Desire-Brisard FNP LNC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1700337524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 E 104TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364507",
            "telephone_number": "718-373-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 E 104TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364507",
            "telephone_number": "718-373-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUNIQUE DESIRE-BRISARD FNP,LNC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "DESIRE-BRISARD",
        "authorized_official_first_name": "YUNIQUE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "719-373-2563",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "F333149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.