Kriupa Samson, PMHNP, BSN RN | |
1624 E 12th St Apt 1f, Brooklyn, NY 11229-1094 | |
(347) 323-1446 | |
Not Available |
Full Name | Kriupa Samson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 1624 E 12th St Apt 1f, Brooklyn, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760997886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 701235 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 403134 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Nyc Health + Hospitals/coney Island | Brooklyn, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Coney Island Medical Practice Plan, P.c. | 5496944803 | 319 |
Entity Name | Coney Island Medical Practice Plan, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386951762 PECOS PAC ID: 5496944803 Enrollment ID: O20110114000660 |
Mailing Address | Practice Location Address |
---|---|
Kriupa Samson, PMHNP, BSN RN 1624 E 12th St Apt 1f, Brooklyn, NY 11229-1094 Ph: (347) 323-1446 | Kriupa Samson, PMHNP, BSN RN 1624 E 12th St Apt 1f, Brooklyn, NY 11229-1094 Ph: (347) 323-1446 |
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