Kevin Obi Np In Psychiatry Pllc | |
682 E 241st St Bronx NY 10470-1030 | |
(973) 342-5593 | |
Not Available |
Full Name | Kevin Obi Np In Psychiatry Pllc |
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Speciality | Nurse Practitioner |
Location | 682 E 241st St, Bronx, New York |
Authorized Official Name and Position | Kevin Obi (NURSE PRACTITIONER IN PSYCHIATRY) |
Authorized Official Contact | 9733425593 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kevin Obi Np In Psychiatry Pllc 1131 Elker Rd Union NJ 07083-5006 Ph: (973) 342-5593 | Kevin Obi Np In Psychiatry Pllc 682 E 241st St Bronx NY 10470-1030 Ph: (973) 342-5593 |
NPI Number | 1639823412 |
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Provider Enumeration Date | 02/09/2022 |
Last Update Date | 02/29/2024 |
Certification Date | 02/29/2024 |
Medicare PECOS PAC ID | 7012302698 |
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Medicare Enrollment ID | O20220317000676 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639823412 | NPI | - | NPPES |
5427909 | Medicaid | NY |
Provider Name | Kevin Obi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679062640 PECOS PAC ID: 9133474752 Enrollment ID: I20190225001007 |
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