Healthcare Provider Details

I. General information

NPI: 1558163949
Provider Name (Legal Business Name): JOSEPH S BRICE REGISTERED NURSE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6424 18TH AVE
BROOKLYN NY
11204-3729
US

IV. Provider business mailing address

7 SAINT JOHNS AVE
HICKSVILLE NY
11801-5207
US

V. Phone/Fax

Practice location:
  • Phone: 917-830-2695
  • Fax:
Mailing address:
  • Phone: 646-986-0772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberN35918
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: