National Provider Identifier
Emily Juanita Brooks
Emily Juanita Brooks is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Ithaca, NY and a listed phone number of (607) 274-7007.
Profile Overview
- NPI
- 1205720422
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- June 03, 2025
- Last Updated
- June 03, 2025
Practice Location
- 953 Danby RD
- Ithaca, NY 14850-7002
Phone: (607) 274-7007
Mailing Address
- 123 Birdseye View Dr Apt A
- Ithaca, NY 14850-5797
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1205720422
- Entity Type
- Individual
- Last Name
- Brooks
- First Name
- Emily
- Middle Name
- Juanita
- Mailing Street Address
- 123 Birdseye View Dr Apt A
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5797
- Mailing Country
- US
- Practice Street Address
- 953 Danby RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-7002
- Practice Country
- US
- Practice Phone
- (607) 274-7007
- Enumeration Date
- June 03, 2025
- Last Updated
- June 03, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 03, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)