Katherine Maychenko, FNP | |
3903 Nostrand Ave Apt 2d, Brooklyn, NY 11235-2133 | |
(917) 860-0298 | |
Not Available |
Full Name | Katherine Maychenko |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3903 Nostrand Ave Apt 2d, 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 |
---|---|---|---|
1700527025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 348578 (New York) | Primary |
Entity Name | Medical Director Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20160621000218 |
Entity Name | Prospect Park Operating, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841365509 PECOS PAC ID: 7113927765 Enrollment ID: O20211221001121 |
Entity Name | Patient First Medical Practice Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255067955 PECOS PAC ID: 0042687006 Enrollment ID: O20221103001230 |
Mailing Address | Practice Location Address |
---|---|
Katherine Maychenko, FNP 3903 Nostrand Ave Apt 2d, Brooklyn, NY 11235-2133 Ph: (917) 860-0298 | Katherine Maychenko, FNP 3903 Nostrand Ave Apt 2d, Brooklyn, NY 11235-2133 Ph: (917) 860-0298 |
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