MEDICARE: MONIQUE PRESTIGE BRITTON

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1477416717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONIQUE PRESTIGE BRITTON

Provider Business Mailing Address
First Line	:	1902 RIVER VIEW DR
Second Line	:
City	:	TROY
State	:	NY
Zip	:	12183-1139
Country	:	US
Telephone Number	:	518-956-0013
Fax Number	:

Provider Business Practice Location Address
First Line	:	1902 RIVER VIEW DR
Second Line	:
City	:	TROY
State	:	NY
Zip	:	12183-1139
Country	:	US
Telephone Number	:	518-956-0013
Fax Number	:

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

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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Directions to “ MONIQUE PRESTIGE BRITTON ” Practice Location

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