| Doctor Name: | MARIA CARMINA BROGNA |
| NPI Number: | 1033548987 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 472308-1 |
| Business Practice Address: | 91 Guy Lombardo Ave Freeport, NY - 115203731 |
| Business Phone Number: | 5168683030 |
| Business Fax Number: | |
| Mailing Address: | 91 Guy Lombardo Ave, FREEPORT |
| State: | NY |
| Postal Code: | 115203731 |
| Phone Number: | 1516868303 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2013 |
| NPI Last Update Date: | 11/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 472308-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |