Provider Demographics
NPI:1588967293
Name:BROBBEY, MARGARET (COTA)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:BROBBEY
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 ELGAR PL
Mailing Address - Street 2:APARTMENT #19E
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-5201
Mailing Address - Country:US
Mailing Address - Phone:212-866-0666
Mailing Address - Fax:212-866-2036
Practice Address - Street 1:140 ELGAR PL
Practice Address - Street 2:APARTMENT #19E
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-5201
Practice Address - Country:US
Practice Address - Phone:212-866-0666
Practice Address - Fax:212-866-2036
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-20
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007528-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY007528-1OtherCOTA LICENSE