Healthcare Provider Details

I. General information

NPI: 1851518195
Provider Name (Legal Business Name): BARBARA-JEAN BRISKEY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 CAMPUS RD BARD COLLEGE HEALTH SERVICE
ANNANDALE-ON-HUDSON NY
12504
US

IV. Provider business mailing address

10 NORRIE CT
GERMANTOWN NY
12526-5527
US

V. Phone/Fax

Practice location:
  • Phone: 845-758-7433
  • Fax: 845-758-7437
Mailing address:
  • Phone: 845-758-7433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number33-330976
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: