Lajuan Bethune Booker, FNP | |
3215 Fulton St, Brooklyn, NY 11208-1907 | |
(833) 244-7111 | |
Not Available |
Full Name | Lajuan Bethune Booker |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3215 Fulton 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 |
---|---|---|---|
1437522307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 339938 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | F339938 (New York) | Primary |
Entity Name | North Shore Hematology Oncology Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396794574 PECOS PAC ID: 1456243641 Enrollment ID: O20040324001766 |
Entity Name | Nyc Medical Doctor P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831489798 PECOS PAC ID: 2961669643 Enrollment ID: O20120208000357 |
Entity Name | Health Shared Physicians Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013576552 PECOS PAC ID: 1850717521 Enrollment ID: O20200812003428 |
Mailing Address | Practice Location Address |
---|---|
Lajuan Bethune Booker, FNP 24 Knights Cir, Newburgh, NY 12550-2422 Ph: (917) 273-7686 | Lajuan Bethune Booker, FNP 3215 Fulton St, Brooklyn, NY 11208-1907 Ph: (833) 244-7111 |
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