| Doctor Name: | JUDY S BRUSTEIN |
| NPI Number: | 1285931121 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CHPN, MS, GNP |
| License Number: | F340770-1 |
| Business Practice Address: | 50 Charles Lindbergh Blvd Suite 206 Uniondale, NY - 115533626 |
| Business Phone Number: | 8666624560 |
| Business Fax Number: | 4809072108 |
| Mailing Address: | 4545 E Shea Blvd, Suite 175 PHOENIX |
| State: | AZ |
| Postal Code: | 850283074 |
| Phone Number: | 6024645251 |
| Fax Number: | 4809072108 |
| NPI Enumeration Date: | 02/11/2011 |
| NPI Last Update Date: | 02/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | F340770-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |