MEDICARE: FRANCES BROOKS WANNING

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	225600000X	Dance Therapist

General Provider Information

NPI Number	:	1255290763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCES BROOKS WANNING

Provider Business Mailing Address
First Line	:	1378 YORK AVE APT 3C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-3494
Country	:	US
Telephone Number	:	864-992-9484
Fax Number	:

Provider Business Practice Location Address
First Line	:	164 SUYDAM ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11221-3309
Country	:	US
Telephone Number	:	718-574-6300
Fax Number	:

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

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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Directions to “ FRANCES BROOKS WANNING ” Practice Location

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