MEDICARE: BRENNA RAMIREZ

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	101YM0800X	Mental Health Counselor	012304	NY

General Provider Information

NPI Number	:	1356072599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENNA RAMIREZ

Provider Business Mailing Address
First Line	:	523 PROSPECT PL APT 103
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11238-4203
Country	:	US
Telephone Number	:	540-797-0974
Fax Number	:

Provider Business Practice Location Address
First Line	:	68 JAY ST STE 311620
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-1189
Country	:	US
Telephone Number	:	917-543-1011
Fax Number	:

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

Provider Enumeration Date	:	06/20/2022
Last Update Date	:	06/20/2022

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Directions to “ BRENNA RAMIREZ ” Practice Location

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