Healthcare Provider Details

I. General information

NPI: 1871704106
Provider Name (Legal Business Name): COURTNEY ELIZABETH BRIAMONTE CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3959 BROADWAY
NEW YORK NY
10032-1559
US

IV. Provider business mailing address

101 CAMBRIDGE RD
WESTFIELD NJ
07090-1749
US

V. Phone/Fax

Practice location:
  • Phone: 212-342-8530
  • Fax:
Mailing address:
  • Phone: 201-988-5775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number381886
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: