Christopher Glenn Sorensen, FNP | |
4813 9th Ave, Brooklyn, NY 11220-2484 | |
(718) 283-7686 | |
Not Available |
Full Name | Christopher Glenn Sorensen |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 4813 9th 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 |
---|---|---|---|
1154191468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F351323 (New York) | Primary |
Entity Name | Maimonides Faculty Practice Plan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053344846 PECOS PAC ID: 7012808348 Enrollment ID: O20040324000597 |
Entity Name | Mmc Division Of General Thoracic Surgery F P P |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508969494 PECOS PAC ID: 1153420617 Enrollment ID: O20070625000084 |
Mailing Address | Practice Location Address |
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Christopher Glenn Sorensen, FNP 236 Raritan Ave, Staten Island, NY 10305-1321 Ph: (646) 209-5740 | Christopher Glenn Sorensen, FNP 4813 9th Ave, Brooklyn, NY 11220-2484 Ph: (718) 283-7686 |
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