Brockway, Anissa
Brockway, Anissa is an sole proprietor health care provider with primary practice located at 182 Coffey St , Brooklyn NY 11231-1026. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Brockway, Anissa can be contacted via phone (347) 385-7605.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 024074 | New York |
Profile Details
| NPI number | 1194368423 |
|---|---|
| LBN Legal business name | Brockway, Anissa |
| Credentials | OCCUPATIONAL THERAPI |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2019 |
| Last updated | Oct 18th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194368423 | NPPES |
| Other | 061715422 | DL |
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