Basic Information
Provider Information
NPI: 1548996432
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOTE
FirstName: BRIANA
MiddleName: R
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 121 EVERETT RD
Address2:  
City: ALBANY
State: NY
PostalCode: 122051474
CountryCode: US
TelephoneNumber: 5184892663
FaxNumber:  
Practice Location
Address1: 121 EVERETT RD STE 100
Address2:  
City: ALBANY
State: NY
PostalCode: 122051447
CountryCode: US
TelephoneNumber: 5184892663
FaxNumber: 5186893910
Other Information
ProviderEnumerationDate: 07/25/2022
LastUpdateDate: 07/25/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/25/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X349932NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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