Organization Active NPI

Yunique a Desire-Brisard FNP LNC

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1912253592
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
333149 Issued in NY
Legal business name
YUNIQUE A DESIRE-BRISARD FNP LNC
Practice address
1339 E 104TH Street
Brooklyn, NY 11236
Phone
(718) 373-2563
Fax
(718) 339-4470
NPI assigned
Aug 1, 2012
Last updated
Aug 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Yunique Amber Desire-Brisard, FNPNPI 1922250653
Title
President
Phone
(718) 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
Family Medicine Physician 207Q00000X 333149 NY Primary

Addresses

Primary practice location

1339 E 104TH Street
Brooklyn, NY 11236

Mailing address

380 Avenue U
Ste# 1L
Brooklyn, NY 11223-4046
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.

Locations

380 Avenue U
Ste 1L
Brooklyn, NY 11223
Phone (718) 376-3077

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": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1912253592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 AVENUE U",
            "address_2": "STE# 1L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234046",
            "telephone_number": "718-373-2563",
            "fax_number": "718-339-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 E 104TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11236",
            "telephone_number": "718-373-2563",
            "fax_number": "718-339-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUNIQUE A DESIRE-BRISARD FNP LNC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "DESIRE-BRISARD",
        "authorized_official_first_name": "YUNIQUE",
        "authorized_official_middle_name": "AMBER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-373-2563",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "333149",
            "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 Aug 14, 2012; 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.