| Kings County Np In Psychiatry Pllc | |
|
9 Paerdegat 14th St Brooklyn NY 11236-4114 | |
| (919) 413-1355 | |
| Not Available |
| Full Name | Kings County Np In Psychiatry Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9 Paerdegat 14th St, Brooklyn, New York |
| Authorized Official Name and Position | Kemi Abdul (PROVIDER) |
| Authorized Official Contact | 9194131335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kings County Np In Psychiatry Pllc 9 Paerdegat 14th St Brooklyn NY 11236-4114 Ph: () - | Kings County Np In Psychiatry Pllc 9 Paerdegat 14th St Brooklyn NY 11236-4114 Ph: (919) 413-1355 |
| NPI Number | 1962236562 |
|---|---|
| Provider Enumeration Date | 08/27/2024 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Medicare PECOS PAC ID | 8921532532 |
|---|---|
| Medicare Enrollment ID | O20241105002044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962236562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kemi Abdul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437318755 PECOS PAC ID: 1456743582 Enrollment ID: I20241105002197 |
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