Katherine Tom, PPCNP-BC | |
215 Heyward St, Brooklyn, NY 11206-2966 | |
(718) 302-7900 | |
Not Available |
Full Name | Katherine Tom |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 215 Heyward 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 |
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1902357106 | NPI | - | NPPES |
Entity Name | Access Community Health Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982783692 PECOS PAC ID: 9537076112 Enrollment ID: O20031204000985 |
Mailing Address | Practice Location Address |
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Katherine Tom, PPCNP-BC 564 1st Ave Apt 12g, New York, NY 10016-6484 Ph: () - | Katherine Tom, PPCNP-BC 215 Heyward St, Brooklyn, NY 11206-2966 Ph: (718) 302-7900 |
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