Ekaterina Khaytsis, NP | |
1329 E 17th St Ste 1, Brooklyn, NY 11230-6052 | |
(718) 382-5060 | |
Not Available |
Full Name | Ekaterina Khaytsis |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1329 E 17th St Ste 1, 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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1417422395 | NPI | - | NPPES |
Entity Name | Revived Soul Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821389941 PECOS PAC ID: 0749466266 Enrollment ID: O20110518000539 |
Mailing Address | Practice Location Address |
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Ekaterina Khaytsis, NP 1329 E 17th St Ste 1, Brooklyn, NY 11230-6052 Ph: (718) 382-5060 | Ekaterina Khaytsis, NP 1329 E 17th St Ste 1, Brooklyn, NY 11230-6052 Ph: (718) 382-5060 |
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