Ashley David, | |
2581 Atlantic Ave, Brooklyn, NY 11207-2412 | |
(470) 455-4319 | |
Not Available |
Full Name | Ashley David |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2581 Atlantic Ave, Brooklyn, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841928892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 404275 (New York) | Primary |
Entity Name | Institute For Community Living, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558494930 PECOS PAC ID: 3870482391 Enrollment ID: O20040312000818 |
Mailing Address | Practice Location Address |
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Ashley David, 100 Haven Ave Apt 13a, New York, NY 10032-2624 Ph: (949) 344-0424 | Ashley David, 2581 Atlantic Ave, Brooklyn, NY 11207-2412 Ph: (470) 455-4319 |
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