| Doctor Name: | DR. DEBRA ELLEN BROOKS |
| NPI Number: | 1841358140 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 179846 |
| Business Practice Address: | 210 21 Northern Blvd Bayside, NY - 11361 |
| Business Phone Number: | 7182248855 |
| Business Fax Number: | 7186312544 |
| Mailing Address: | 46 Northgate Cres, MELVILLE |
| State: | NY |
| Postal Code: | 117473028 |
| Phone Number: | 5168229109 |
| Fax Number: | |
| NPI Enumeration Date: | 12/05/2006 |
| NPI Last Update Date: | 04/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 179846 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |