Joseph R Henao, NP | |
400 Pennsylvania Ave, Brooklyn, NY 11207 | |
(718) 345-5000 | |
Not Available |
Full Name | Joseph R Henao |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 400 Pennsylvania 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 |
---|---|---|---|
1952410722 | NPI | - | NPPES |
02795348 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 332913 (New York) | Primary |
Entity Name | Downtown Bronx Medical Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689618407 PECOS PAC ID: 9638082746 Enrollment ID: O20031106000016 |
Mailing Address | Practice Location Address |
---|---|
Joseph R Henao, NP 592 Rockaway Ave, Brooklyn, NY 11212-5539 Ph: (718) 345-5000 | Joseph R Henao, NP 400 Pennsylvania Ave, Brooklyn, NY 11207 Ph: (718) 345-5000 |
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