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NPI Code Detail

MEDICARE: BRIYANNA PAULINE BRINSON LMSW

MEDICARE: BRIYANNA PAULINE BRINSON LMSW
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
1104100000XSocial Worker127880NY

General Provider Information

NPI Number : 1831084953
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIYANNA PAULINE BRINSON LMSW
Provider Business Mailing Address
First Line : 6605 KENNEDY BLVD E APT 1
Second Line :
City : WEST NEW YORK
State : NJ
Zip : 07093-4201
Country : US
Telephone Number : 786-413-4397
Fax Number :
Provider Business Practice Location Address
First Line : 579 COURTLANDT AVE
Second Line :
City : BRONX
State : NY
Zip : 10451-5013
Country : US
Telephone Number : 786-413-4397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2025
Last Update Date : 06/11/2026

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