Nicole Theresa Kennedy-pauls, MD | |
150 55th St, Brooklyn, NY 11220-2508 | |
(718) 630-7000 | |
Not Available |
Full Name | Nicole Theresa Kennedy-pauls |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 11 Years |
Location | 150 55th St, Brooklyn, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366763732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 268997 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Bortolazzo Group, Llc | 3476554320 | 72 |
Entity Name | The Bortolazzo Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
Mailing Address | Practice Location Address |
---|---|
Nicole Theresa Kennedy-pauls, MD 100 W 26th St, Apt. 17a, New York, NY 10001-6840 Ph: () - | Nicole Theresa Kennedy-pauls, MD 150 55th St, Brooklyn, NY 11220-2508 Ph: (718) 630-7000 |
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