Bronsen Kawika Valentine, RN | |
374 Stockholm St, Brooklyn, NY 11237-4006 | |
(718) 963-7272 | |
Not Available |
Full Name | Bronsen Kawika Valentine |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 374 Stockholm St, 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 |
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1366147944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 771004 (New York) | Primary |
Entity Name | North American Partners In Anesthesia Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649264706 PECOS PAC ID: 7719885771 Enrollment ID: O20040108000176 |
Mailing Address | Practice Location Address |
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Bronsen Kawika Valentine, RN 960 N Alfred St Apt 102, Los Angeles, CA 90069-6303 Ph: (808) 498-2571 | Bronsen Kawika Valentine, RN 374 Stockholm St, Brooklyn, NY 11237-4006 Ph: (718) 963-7272 |
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