Healthcare Provider Details

I. General information

NPI: 1720252695
Provider Name (Legal Business Name): BREE AITORO MS.ED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2008
Last Update Date: 04/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOYT ST 7TH FLOOR
BROOKLYN NY
11201-5809
US

IV. Provider business mailing address

311 ECKFORD ST APT. 2R
BROOKLYN NY
11222-2317
US

V. Phone/Fax

Practice location:
  • Phone: 718-578-9813
  • Fax:
Mailing address:
  • Phone: 718-578-9813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: