MEDICARE: KIMBERLYN NORDIA BROOKS

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	363LF0000X	Family Nurse Practitioner	357044	NY

General Provider Information

NPI Number	:	1295610327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLYN NORDIA BROOKS

Provider Business Mailing Address
First Line	:	2649 STRANG BLVD STE 304
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-2938
Country	:	US
Telephone Number	:	646-745-6369
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 6TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-3608
Country	:	US
Telephone Number	:	718-780-3000
Fax Number	:

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

Provider Enumeration Date	:	08/07/2025
Last Update Date	:	01/26/2026

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Directions to “ KIMBERLYN NORDIA BROOKS ” Practice Location

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