Provider Demographics
NPI:1285931121
Name:BRUSTEIN, JUDY S (RN, CHPN, MS, GNP)
Entity type:Individual
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First Name:JUDY
Middle Name:S
Last Name:BRUSTEIN
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Gender:F
Credentials:RN, CHPN, MS, GNP
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Mailing Address - Street 1:4545 E SHEA BLVD
Mailing Address - Street 2:SUITE 175
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-3074
Mailing Address - Country:US
Mailing Address - Phone:602-464-5251
Mailing Address - Fax:480-907-2108
Practice Address - Street 1:50 CHARLES LINDBERGH BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-3626
Practice Address - Country:US
Practice Address - Phone:866-662-4560
Practice Address - Fax:480-907-2108
Is Sole Proprietor?:No
Enumeration Date:2011-02-11
Last Update Date:2023-07-06
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Provider Licenses
StateLicense IDTaxonomies
NY340770363LG0600X
NYF340770-1363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology