MADINA BRANTLEY RN – NPI #1891050860
Clinic/Center

MADINA BRANTLEY is an AHC clinic located in LONG ISLAND CITY, NY. NPPES has assigned the NPI number 1891050860 to MADINA BRANTLEY on July 05, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

The NPI profile was previously updated about 14 years ago on Jul 06, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MADINA BRANTLEY below.

NPI Profile for
MADINA BRANTLEY

NPI Number
1891050860
Enumeration Date

(about 14 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MADINA BRANTLEY
Credentials
RN
Primary location
3711 QUEENS BLVD
LONG ISLAND CITY
LONG ISLAND CITY, NY 11101-1725
Phone: (718) 361-5100 Fax: (718) 361-5129
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)
NY 292101-1

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.