Irene Dworan, | |
118 97th St, Brooklyn, NY 11209-7602 | |
(718) 745-0494 | |
Not Available |
Full Name | Irene Dworan |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 118 97th 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 |
---|---|---|---|
1508339839 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 343668 (New York) | Primary |
Entity Name | New York City Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548208127 PECOS PAC ID: 4183535305 Enrollment ID: O20040322001521 |
Mailing Address | Practice Location Address |
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Irene Dworan, 118 97th St, Brooklyn, NY 11209-7602 Ph: () - | Irene Dworan, 118 97th St, Brooklyn, NY 11209-7602 Ph: (718) 745-0494 |
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