National Provider Identifier
Carmen Dirssis Coco Brazoban
Carmen Dirssis Coco Brazoban is listed in the NPPES registry with a primary specialty of Social Worker in New York, NY and a listed phone number of (212) 694-9200.
Source: public NPPES record, last updated June 29, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1922678242
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- June 29, 2021
- Last Updated
- June 29, 2021
Practice Location
- 1727 Amsterdam Ave
- New York, NY 10031-4611
Phone: (212) 694-9200
Mailing Address
- 99 Featherbed Ln Apt 2C
- Bronx, NY 10452-1610
Specialties
- Social Worker (104100000X)
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Biography
Carmen Dirssis Coco Brazoban is a New York-based social worker with a public professional listing in the federal provider registry. Public sources do not identify a health-system affiliation, faculty role, research activity, leadership position, or formal training history.
Full Record
- NPI
- 1922678242
- Entity Type
- Individual
- Last Name
- Coco Brazoban
- First Name
- Carmen
- Middle Name
- Dirssis
- Mailing Street Address
- 99 Featherbed Ln Apt 2C
- Mailing City
- Bronx
- Mailing State
- NY
- Mailing ZIP Code
- 10452-1610
- Mailing Country
- US
- Mailing Phone
- (917) 201-9244
- Practice Street Address
- 1727 Amsterdam Ave
- Practice City
- New York
- Practice State
- NY
- Practice ZIP Code
- 10031-4611
- Practice Country
- US
- Practice Phone
- (212) 694-9200
- Enumeration Date
- June 29, 2021
- Last Updated
- June 29, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- June 29, 2021
- Taxonomies
- Social Worker (104100000X)