Healthcare Provider Details

I. General information

NPI: 1699608059
Provider Name (Legal Business Name): BROOKE MARIE LACARTE-HIGGINS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 IRONGATE CTR STE 2
GLENS FALLS NY
12801-3473
US

IV. Provider business mailing address

26 KIMBERLY LN
FORT EDWARD NY
12828-9218
US

V. Phone/Fax

Practice location:
  • Phone: 518-793-4409
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberF359830-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: