Brooke Beideck, | |
550 1st Ave, New York, NY 10016-6402 | |
(121) 226-3730 | |
Not Available |
Full Name | Brooke Beideck |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 550 1st Ave, New York, 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 |
---|---|---|---|
1316385644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 100455 (New York) | Primary |
Entity Name | New York University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851456701 PECOS PAC ID: 1355232422 Enrollment ID: O20040329001569 |
Mailing Address | Practice Location Address |
---|---|
Brooke Beideck, 222 E 18th St Apt 2f, New York, NY 10003-3666 Ph: (816) 803-3726 | Brooke Beideck, 550 1st Ave, New York, NY 10016-6402 Ph: (121) 226-3730 |
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