Earlyn Kit Boston, | |
550 Vandalia Ave, 2 Nd Floor, Brooklyn, NY 11239-2809 | |
(347) 564-2673 | |
Not Available |
Full Name | Earlyn Kit Boston |
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Gender | Female |
Speciality | Registered Nurse - Critical Care Medicine |
Location | 550 Vandalia 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 |
---|---|---|---|
1659779726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 22532935 (New York) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | 30306740 (New York) | Secondary |
Entity Name | Maimonides Medical Center - Mmc Emergency Physicians Fpp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982708202 PECOS PAC ID: 3678472917 Enrollment ID: O20040106000161 |
Mailing Address | Practice Location Address |
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Earlyn Kit Boston, 550 Vandalia Avenue, 2 Nd Floor, Brooklyn, NY 11239 Ph: (347) 564-2673 | Earlyn Kit Boston, 550 Vandalia Ave, 2 Nd Floor, Brooklyn, NY 11239-2809 Ph: (347) 564-2673 |
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