Provider Demographics
NPI:1609348267
Name:BARTLETT, BRUNILDA C (MSW)
Entity type:Individual
Prefix:
First Name:BRUNILDA
Middle Name:C
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16318 JAMAICA AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-4901
Mailing Address - Country:US
Mailing Address - Phone:718-297-8000
Mailing Address - Fax:
Practice Address - Street 1:163-18 JAMAICA AVENUE
Practice Address - Street 2:FLOOR 4
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:11432
Practice Address - Country:US
Practice Address - Phone:718-297-8000
Practice Address - Fax:718-262-8228
Is Sole Proprietor?:No
Enumeration Date:2018-12-20
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker