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General NPI Number Information
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NPI Number | 1033548987
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Entity Type | Individual
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Provider Name | MARIA CARMINA BROGNA R.N.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2013
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 7925 WINCHESTER BLVD BLDG 40
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City | QUEENS VILLAGE
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State | NY
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Zip | 11427-2128
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Country | US
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Telephone | 718-264-4390
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Fax | 718-264-4124
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Provider Business Mailing Address
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Address Line | 91 GUY LOMBARDO AVE
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City | FREEPORT
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State | NY
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Zip | 11520-3731
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Country | US
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Telephone | 151-686-8303
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 472308-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 472308-1
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License Number State | NY
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