Individual provider · Type 1 NPI
Doretha Clara Brown-Simpson, ED. D.
Specialist · Springfield Gardens, NY
NPI number
1083153472
Active
Practice location
22424 144th Ave
Springfield Gardens, NY 11413-3501
Fax (718) 341-0005
Mailing address
224-24 144 Avenue
Springfield Gardens, NY 11413-3501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 195920021 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1083153472
Doretha Clara Brown-Simpson, ED. D.'s National Provider Identifier is 1083153472, issued on Feb 17, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Springfield Gardens, NY. The record was last updated on Feb 17, 2017.