Audrey Gilzeane, NP | |
589 Rockaway Ave, Brooklyn, NY 11212-5624 | |
(212) 293-3000 | |
Not Available |
Full Name | Audrey Gilzeane |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 589 Rockaway 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 |
---|---|---|---|
1083651350 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | F302234 (New York) | Primary |
Entity Name | Start Treatment & Recovery Centers, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750559712 PECOS PAC ID: 9032001227 Enrollment ID: O20040324001736 |
Entity Name | Carelon Medical Partners, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20160521000037 |
Entity Name | Medical Director Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20160621000218 |
Mailing Address | Practice Location Address |
---|---|
Audrey Gilzeane, NP 589 Rockaway Ave, Brooklyn, NY 11212-5624 Ph: (212) 293-3000 | Audrey Gilzeane, NP 589 Rockaway Ave, Brooklyn, NY 11212-5624 Ph: (212) 293-3000 |
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