Healthcare Provider Details

I. General information

NPI: 1215207634
Provider Name (Legal Business Name): MS. BRISEIDA J MCFARLANE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2012
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 SHEEPSHEAD BAY RD
BROOKLYN NY
11224-3621
US

IV. Provider business mailing address

113 TRUXTON ST
BROOKLYN NY
11233-3345
US

V. Phone/Fax

Practice location:
  • Phone: 718-946-2600
  • Fax:
Mailing address:
  • Phone: 646-271-4638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number100399-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: