Kathleen E Dupera, FNP | |
10 Paerdegat 4th St, Brooklyn, NY 11236-4136 | |
(917) 346-9166 | |
Not Available |
Full Name | Kathleen E Dupera |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 10 Paerdegat 4th 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 |
---|---|---|---|
1033850250 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 348755 (New York) | Primary |
Entity Name | Hp Medical Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356731202 PECOS PAC ID: 3971858341 Enrollment ID: O20180626003244 |
Entity Name | Brooklyn Medical Office Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760138648 PECOS PAC ID: 7315326972 Enrollment ID: O20220628001993 |
Mailing Address | Practice Location Address |
---|---|
Kathleen E Dupera, FNP 10 Paerdegat 4th St, Brooklyn, NY 11236-4136 Ph: (917) 346-9166 | Kathleen E Dupera, FNP 10 Paerdegat 4th St, Brooklyn, NY 11236-4136 Ph: (917) 346-9166 |
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