Ekaterina Prokofieva, | |
3235 Emmons Ave Apt 625, Brooklyn, NY 11235-1157 | |
(718) 909-4842 | |
Not Available |
Full Name | Ekaterina Prokofieva |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 3235 Emmons Ave Apt 625, Brooklyn, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851913453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0808X | Registered Nurse - Psychiatric/mental Health | 674595-1 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 403628 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jewish Board Of Family And Childrens Services Inc | 5092607333 | 108 |
Entity Name | Jewish Board Of Family & Childrens Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689755662 PECOS PAC ID: 5092607333 Enrollment ID: O20040330000048 |
Mailing Address | Practice Location Address |
---|---|
Ekaterina Prokofieva, 3235 Emmons Ave Apt 625, Brooklyn, NY 11235-1157 Ph: (718) 909-4842 | Ekaterina Prokofieva, 3235 Emmons Ave Apt 625, Brooklyn, NY 11235-1157 Ph: (718) 909-4842 |
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