Healthcare Provider Details

I. General information

NPI: 1205052883
Provider Name (Legal Business Name): CLIFFORD JIMENEZ BRISSETT RESPIRATORYTHERAPIST
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 CLARKSON AVE
BROOKLYN NY
11203-2057
US

IV. Provider business mailing address

219 E 38TH ST
BROOKLYN NY
11203-2819
US

V. Phone/Fax

Practice location:
  • Phone: 718-245-4527
  • Fax:
Mailing address:
  • Phone: 718-284-0935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number003590-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2278C0205X
TaxonomyCritical Care Certified Respiratory Therapist
License Number003590-1
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code2278E0002X
TaxonomyEmergency Care Certified Respiratory Therapist
License Number003590-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: