Gladys Kigigha, | |
134 N 4th St, Brooklyn, NY 11249-3296 | |
(646) 450-7748 | |
Not Available |
Full Name | Gladys Kigigha |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 134 N 4th St, 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 |
---|---|---|---|
1194482570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1059206 (Texas) | Primary |
Entity Name | Valera Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437782349 PECOS PAC ID: 0547690521 Enrollment ID: O20200414003279 |
Mailing Address | Practice Location Address |
---|---|
Gladys Kigigha, 134 N 4th St, Brooklyn, NY 11249-3296 Ph: (646) 450-7748 | Gladys Kigigha, 134 N 4th St, Brooklyn, NY 11249-3296 Ph: (646) 450-7748 |
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