NATHAN D BROOKS
NPI 1871328575
Licensed Practical Nurse in Syracuse, NY

Active since September 04, 2024
620 MADISON ST, SYRACUSE, NY 13210(315) 426-3632(315) 426-3603 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Licensed Practical Nurse

About NATHAN BROOKS

This page provides the complete NPI Profile along with additional information for Nathan Brooks, a provider established in Syracuse, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1871328575 assigned on September 2024. The practitioner's primary taxonomy code is 164W00000X with license number 293164 (NY). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1871328575 Verify this NPI
Provider Name
NATHAN D BROOKS
Gender
Male
Entity Type
Individual
Location Address
620 MADISON ST SYRACUSE, NY 13210
Location Phone
(315) 426-3632
Location Fax
(315) 426-3603
Mailing Address
7475 MORGAN RD APT 16-12 LIVERPOOL, NY 13090
Mailing Phone
(518) 986-0774
Mailing Fax
(315) 569-5969
Is Sole Proprietor?
Yes
Enumeration Date
09-04-2024
Last Update Date
09-04-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
293164
License State
NY
Taxonomy Description
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.

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Psychiatry & Neurology (Psychiatry)
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Psychiatry & Neurology (Psychiatry)
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SYRACUSE, NY 13210
Psychiatry & Neurology (Psychiatry)
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Family Medicine
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Psychiatry & Neurology (Psychiatry)
620 MADISON ST
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Psychiatry & Neurology (Psychiatry)
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Psychiatry & Neurology (Child & Adolescent Psychiatry)
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Pharmacist
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Social Worker (Clinical)
620 MADISON ST
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Social Worker (Clinical)
620 MADISON ST
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Registered Nurse
620 MADISON ST
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Social Worker (Clinical)
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Social Worker (Clinical)
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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871328575, enumerated as an "individual" on September 04, 2024.

The provider is located at 620 MADISON ST SYRACUSE, NY 13210 and the phone number is (315) 426-3632.

Licensed Practical Nurse with taxonomy code 164W00000X.