Brabaw, Dawn Lee

Brabaw, Dawn Lee is an individual health care provider with primary practice located at 6258 Us Highway 11 Lot 38, Canton NY 13617-3926. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Brabaw, Dawn Lee can be contacted via phone (315) 386-3186.

Contact Information

Primary practice address
6258 Us Highway 11 Lot 38 Canton NY 13617-3926
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 290555-1 New York
Nursing Service Providers / Registered Nurse 163W00000X 674172-1 New York

Profile Details

NPI number 1962794396
LBN Legal business name Brabaw, Dawn Lee
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2011
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962794396 NPPES
New York MEDICAID 1962794396

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