Individual provider · Type 1 NPI

Brenda Sporn, FNP

Family Nurse Practitioner · Richmond Hill, NY

NPI number 1639485022 Active

Practice location

125-06 101st Ave
Richmond Hill, NY 11419

Call (718) 849-2900 Map

Fax (718) 559-5468

Mailing address

55 Water Street, 2nd Floor Cred Dept
New York, NY 10041-0004

Other practice locations

509 Jarvis Ave, Far Rockaway, NY 11691 · (718) 471-7247
96-10 Metropolitan Ave, Forest Hills, NY 11375-6625 · (718) 459-0400
260 W. Sunrise Hwy, Ste. 200, Valley Stream, NY 11581-1015 · (516) 825-3600
86-15 Queens Blvd, Elmhurst, NY 11373-4427 · (718) 899-6600
509 Jarvis Ave, Far Rockaway, NY 11691 · (718) 471-7247

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	584123-1 (NY)
Family Nurse Practitioner Primary	363LF0000X	339449 (NY)

Family Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1639485022

Brenda Sporn, FNP's National Provider Identifier is 1639485022, issued on Aug 24, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Richmond Hill, NY. The record was last updated on Sep 30, 2019.