Individual provider · Type 1 NPI

Brazzie Addison Iv

Student in an Organized Health Care Education/Training Program · Syracuse, NY

NPI number 1689552507 Active

Practice location

321 W Onondaga St
Syracuse, NY 13202-3265

Call (315) 478-0610 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689552507

Brazzie Addison Iv's National Provider Identifier is 1689552507, issued on Aug 27, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Syracuse, NY. The record was last updated on Aug 27, 2025.