Lesya Ivankiv, FNP | |
2758 Ocean Ave Apt 1c, Brooklyn, NY 11229-4753 | |
(646) 545-0006 | |
Not Available |
Full Name | Lesya Ivankiv |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2758 Ocean Ave Apt 1c, 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 |
---|---|---|---|
1629859459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 352887 (New York) | Primary |
Entity Name | Executive Medical Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326265885 PECOS PAC ID: 2567551849 Enrollment ID: O20071210000435 |
Mailing Address | Practice Location Address |
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Lesya Ivankiv, FNP 2758 Ocean Ave Apt 1c, Brooklyn, NY 11229-4753 Ph: (646) 545-0006 | Lesya Ivankiv, FNP 2758 Ocean Ave Apt 1c, Brooklyn, NY 11229-4753 Ph: (646) 545-0006 |
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