Chinonye O Edeh, NP | |
760 Broadway, Brooklyn, NY 11206-5317 | |
(718) 963-8000 | |
Not Available |
Full Name | Chinonye O Edeh |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 760 Broadway, 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 |
---|---|---|---|
1124333570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 614592 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F403228-01 (New York) | Primary |
Entity Name | St. Mary's Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518926401 PECOS PAC ID: 7618960709 Enrollment ID: O20040405001628 |
Entity Name | Pinnacle Behavioral Health Ipa, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447276720 PECOS PAC ID: 5294703005 Enrollment ID: O20061005000245 |
Mailing Address | Practice Location Address |
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Chinonye O Edeh, NP 225-33 Murdock Ave, Queens Village, NY 11429 Ph: () - | Chinonye O Edeh, NP 760 Broadway, Brooklyn, NY 11206-5317 Ph: (718) 963-8000 |
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