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BRAZZIE ADDISON IV
NPI 1689552507
Student in an Organized Health Care Education/Training Program in Syracuse, NY

Active since August 27, 2025
321 W ONONDAGA ST, SYRACUSE, NY 13202(315) 478-0610 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brazzie Addison Iv NPPES

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

BRAZZIE ADDISON IV (NPI 1689552507) is an individual student in an organized health care education/training program in Syracuse, New York and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1689552507
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRAZZIE ADDISON IV
Location Address321 W ONONDAGA STSyracuse, NY 13202-3265
Mailing Address321 W Onondaga StSyracuse, NY 13202-3265
Phone(315) 478-0610
Sole ProprietorNo
Enumeration DateAugust 27, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1689552507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
321 W ONONDAGA ST, Syracuse, NY 13202
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Other Providers at the Same Location NPPES 20

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

MRS. KRISTEN BEELES LMHC, CASAC
Counselor (Mental Health)
321 W ONONDAGA ST
SYRACUSE, NY 13202
Onondaga County (153) 478-0610
LAURA SULLIVAN LMSW
Clinic/Center (Multi-Specialty)
321 W ONONDAGA ST
SYRACUSE, NY 13202
Onondaga County (315) 478-0610
SUZANNE RIFKEN RN
Registered Nurse
321 W ONONDAGA ST, STE 201
SYRACUSE, NY 13202
Onondaga County (315) 478-0610
BRITNI FLASK REGISTERED NURSE
Registered Nurse
321 W ONONDAGA ST
SYRACUSE, NY 13202
Onondaga County (315) 478-2030
KATHLEEN WITTWER RN
Registered Nurse
321 W ONONDAGA ST
SYRACUSE, NY 13202
Onondaga County (315) 478-0610
ARLENE DAVIS
Counselor (Addiction (Substance Use Disorder))
321 W ONONDAGA ST
SYRACUSE, NY 13202
Onondaga County (315) 478-0610
ALEX POLITO
Counselor (Mental Health)
321 W ONONDAGA ST
SYRACUSE, NY 13202
Onondaga County (315) 478-2030
NICOLE MARIE GIBSON CASAC-T
Clinic/Center (Adult Mental Health)
321 W ONONDAGA ST
SYRACUSE, NY 13202
Onondaga County (315) 478-0610

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 Brazzie Addison's NPI number?

The NPI number for Brazzie Addison is 1689552507. It was assigned to this individual provider in the NPPES registry on August 27, 2025.

Where is Brazzie Addison located?

Brazzie Addison practices at 321 W Onondaga St, Syracuse, NY 13202. The listed phone number is (315) 478-0610.

What is Brazzie Addison's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Brazzie Addison was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.