Healthcare Provider Details

I. General information

NPI: 1578113874
Provider Name (Legal Business Name): BRITTANY DESIREE' JAMES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2019
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 GENESEE STREET
ROCHESTER NY
14611
US

IV. Provider business mailing address

72 KINGS COURT WAY APT 5
IRONDEQUOIT NY
14617-5531
US

V. Phone/Fax

Practice location:
  • Phone: 585-953-8830
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number101052-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: