JOANN LYNN BRAZIL (NPI# 1629625116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629625116 |
| Entity Type | Individual |
| Full Name | JOANN LYNN BRAZIL |
| Practice Address |
1500 Route 112 Building #2 Suite B Port Jefferson NY 11777 |
| Mailing Address |
45 Research Way Ste 208a East Setauket NY 11733-6401 |
| Practice Telephone | 6319787633 |
| Mailing Telephone | 6316752125 |
| Mailing Fax Number | 6316752628 |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F309202-01 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1500 ROUTE 112 BUILDING #2 SUITE B |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003060229 | Janice Fleischman Eaton | Nurse Practitioner | 23 Old Post Road East, Port Jefferson, NY 11777-1957 | 2008-11-14 |
| 1902974330 | Cynthia A Price | Nurse Practitioner | 125 Oakland Ave, Port Jefferson, NY 11777-2130 | 2006-12-01 |
| 1346243987 | Stacey Luise Tursi | Nurse Practitioner | 200 Belle Terre Rd, Dept. of Nursing Education, Port Jefferson, NY 11777 | 2005-05-27 |
| 1952940942 | Katherine Rosangela Quezada | Nurse Practitioner | 625 Belle Terre Rd, Port Jefferson, NY 11777-2316 | 2019-12-23 |
| 1134760648 | Margaret Mary Cherpak | Nurse Practitioner | 66 Cliff Rd, Port Jefferson, NY 11777-1033 | 2019-10-05 |
| 1679120679 | Karin Merrins | Nurse Practitioner | 635 Belle Terre Rd Ste 209, Port Jefferson, NY 11777-1987 | 2019-08-23 |
| 1760994248 | Maria Susan Rubino | Nurse Practitioner | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2017-10-24 |
| 1386096881 | Theresa Aiello | Nurse Practitioner | 70 N Country Rd, Port Jefferson, NY 11777-2161 | 2016-07-07 |
| 1194107961 | Kristen Ann Klein | Nurse Practitioner | 635 Belle Terre Rd Ste 209, Port Jefferson, NY 11777 | 2015-06-29 |
| 1750769808 | Michelle Byrne | Nurse Practitioner | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2015-05-09 |
| Find all providers in PORT JEFFERSON | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
Please comment or provide details below to improve the information on JOANN LYNN BRAZIL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.