Jenny Louissaint, PMHNP | |
585 Schenectady Ave, Brooklyn, NY 11203-1822 | |
(718) 604-5679 | |
Not Available |
Full Name | Jenny Louissaint |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 585 Schenectady 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 |
---|---|---|---|
1104195304 | NPI | - | NPPES |
02386450 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F403193-01 (New York) | Primary |
163W00000X | Registered Nurse | 648445-1 (New York) | Secondary |
Entity Name | Kingsbrook Medical Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104112838 PECOS PAC ID: 8729252028 Enrollment ID: O20111123000332 |
Entity Name | Neighborhood Psychiatric Associates Of Manhattan Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831576735 PECOS PAC ID: 5799089249 Enrollment ID: O20160204000023 |
Mailing Address | Practice Location Address |
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Jenny Louissaint, PMHNP 585 Schenectady Ave, Brooklyn, NY 11203-1822 Ph: (718) 604-5679 | Jenny Louissaint, PMHNP 585 Schenectady Ave, Brooklyn, NY 11203-1822 Ph: (718) 604-5679 |
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