Provider Demographics
NPI:1033548987
Name:BROGNA, MARIA CARMINA (RN)
Entity type:Individual
Prefix:
First Name:MARIA CARMINA
Middle Name:
Last Name:BROGNA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:91 GUY LOMBARDO AVE
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11520-3731
Mailing Address - Country:US
Mailing Address - Phone:151-686-8303
Mailing Address - Fax:
Practice Address - Street 1:7925 WINCHESTER BLVD BLDG 40
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11427-2128
Practice Address - Country:US
Practice Address - Phone:718-264-4390
Practice Address - Fax:718-264-4124
Is Sole Proprietor?:No
Enumeration Date:2013-11-01
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY472308-1101YP2500X, 163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional