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PRUNELLA CYNTHIA DICKERSON
NPI 1407177546
Licensed Practical Nurse in Brooklyn, NY

Active since June 11, 2010
2505 TILDEN AVE STE 101, BROOKLYN, NY 11226(718) 941-4490(718) 703-1716 Get Directions Write a Review

NPPES record last updated: September 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prunella Cynthia Dickerson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRUNELLA CYNTHIA DICKERSON (NPI 1407177546) is an individual licensed practical nurse in Brooklyn, New York, licensed in New York (184863) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1407177546
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NamePRUNELLA CYNTHIA DICKERSON
Location Address2505 TILDEN AVE STE 101Brooklyn, NY 11226-5015
Mailing Address12725 102nd AveSouth Richmond Hill, NY 11419-2205 · (718) 847-5120
Phone(718) 941-4490
Fax(718) 703-1716
Sole ProprietorNo
Enumeration DateJune 11, 2010
Last NPPES UpdateSeptember 17, 2012
✔ NPI 1407177546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 184863
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2505 TILDEN AVE STE 101, Brooklyn, NY 11226
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANETTE WATSON
Registered Nurse
2505 TILDEN AVE STE 101
BROOKLYN, NY 11226
Kings County (718) 941-4490

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prunella Dickerson's NPI number?

The NPI number for Prunella Dickerson is 1407177546. It was assigned to this individual provider in the NPPES registry on June 11, 2010.

Where is Prunella Dickerson located?

Prunella Dickerson practices at 2505 Tilden Ave Ste 101, Brooklyn, NY 11226. The listed phone number is (718) 941-4490.

What is Prunella Dickerson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Prunella Dickerson was last updated on September 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.