| Lc Nurse Practitioner Psychiatry Services Pc | |
|
350 Fulton St Brooklyn NY 11201-5123 | |
| (831) 401-2002 | |
| Not Available |
| Full Name | Lc Nurse Practitioner Psychiatry Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 350 Fulton St, Brooklyn, New York |
| Authorized Official Name and Position | Lesly J Curtis (OWNER) |
| Authorized Official Contact | 8314012002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lc Nurse Practitioner Psychiatry Services Pc 1535 W 4th St Brooklyn NY 11204-4936 Ph: () - | Lc Nurse Practitioner Psychiatry Services Pc 350 Fulton St Brooklyn NY 11201-5123 Ph: (831) 401-2002 |
| NPI Number | 1619462322 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 06/25/2018 |
| Medicare PECOS PAC ID | 2769733948 |
|---|---|
| Medicare Enrollment ID | O20180927000831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619462322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | F400577 (New York) | Primary |
| Provider Name | Lesly J Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578617742 PECOS PAC ID: 5597838961 Enrollment ID: I20080717000444 |
| Provider Name | Lavern Dm Wilson-dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386876373 PECOS PAC ID: 6800280769 Enrollment ID: I20220218002198 |
| Provider Name | Donovan G Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003409038 PECOS PAC ID: 6305215450 Enrollment ID: I20221212001535 |
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