Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brazzie Addison IV

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689552507

Brazzie Addison IV is a Student in an Organized Health Care Education/Training Program in Syracuse, New York. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

321 W Onondaga St
Syracuse, NY 13202-3265
Phone: (315) 478-0610
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1689552507
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 27, 2025
Last updated in NPPESAugust 27, 2025
Certification dateAugust 26, 2025

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