MEDICARE: MILDRED BREWSTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	090751-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205017340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILDRED BREWSTER

Provider Business Mailing Address
First Line	:	2400 HUNTER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10475-5602
Country	:	US
Telephone Number	:	718-379-4495
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 HUNTER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10475-5602
Country	:	US
Telephone Number	:	718-379-4495
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2007
Last Update Date	:	11/16/2007

Similar Medicare Providers

1841457694 — MR. ROLAND N ROBERTS LPN
Practice Location Address:

2400 HUNTER AVENUE , 2E
BRONX, NY
10475-5602

Practice Phone: 718-320-8420
Practice Fax:

1821021072 — MENDIS JONES-MALIK N.P.
Practice Location Address:

324 E 149TH ST
BRONX, NY
10451-5602

Practice Phone: 718-665-4300
Practice Fax: 718-665-2660

1124032545 — GAYATRI PHARMACY INC
Practice Location Address:

2465 UNIVERSITY AVE
BRONX, NY
10468-5602

Practice Phone: 718-220-4253
Practice Fax: 718-584-6824

1215027610 — AMY MARIE SADOWSKI FAMILY NURSE PRACTIT
Practice Location Address:

324 E 149TH ST
BRONX, NY
10451-5602

Practice Phone: 718-665-4300
Practice Fax:

1558433466 — LINCOLN MEDICAL AND MENTAL HEALTH CENTER
Practice Location Address:

324 E 149TH ST , EMERGENCY DEPT
BRONX, NY
10451-5602

Practice Phone: 718-579-6011
Practice Fax: 718-579-4822

1093887754 — MEDICAL EYE CARE, P.C.
Practice Location Address:

326 E 149TH ST
BRONX, NY
10451-5602

Practice Phone: 718-585-6262
Practice Fax:

Directions to “ MILDRED BREWSTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.