National Provider Identifier

Patricia Ann Brockley

Patricia Ann Brockley is listed in the NPPES registry with a primary specialty of Community Health Worker in Geneva, NY and a listed phone number of (315) 230-4153.

NPI 1538525191Geneva, NYCommunity Health Worker

Profile Overview

NPI
1538525191
Provider Type
Individual
Primary Specialty
Community Health Worker
Enumeration Date
January 12, 2016
Last Updated
January 12, 2016

Practice Location

  • 24 Tillman St
  • Geneva, NY 14456-2417

Phone: (315) 230-4153

Specialties

  • Community Health Worker (172V00000X)
Full Record
NPI
1538525191
Entity Type
Individual
Last Name
Brockley
First Name
Patricia
Middle Name
Ann
Provider Other Last Name
Meteyer
Provider Other First Name
Patricia
Provider Other Middle Name
Ann
Provider Other Last Name Type Code
5
Mailing Street Address
24 Tillman St
Mailing City
Geneva
Mailing State
NY
Mailing ZIP Code
14456-2417
Mailing Country
US
Mailing Phone
(315) 230-4153
Mailing Fax
(315) 789-2499
Practice Street Address
24 Tillman St
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456-2417
Practice Country
US
Practice Phone
(315) 230-4153
Practice Fax
(315) 789-2499
Enumeration Date
January 12, 2016
Last Updated
January 12, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Community Health Worker (172V00000X)