Provider Demographics
NPI:1073025003
Name:CALFE, BRENDA J (FNP - BC)
Entity type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:J
Last Name:CALFE
Suffix:
Gender:F
Credentials:FNP - BC
Other - Prefix:MRS
Other - First Name:BRENDA
Other - Middle Name:J
Other - Last Name:SIMPSON - CALFE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 CANTERBURY CIR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTONVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10992-1135
Mailing Address - Country:US
Mailing Address - Phone:845-497-3763
Mailing Address - Fax:
Practice Address - Street 1:100 CORPORATE DR STE 126
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-6839
Practice Address - Country:US
Practice Address - Phone:914-709-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-31
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF342021-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily