Merlene Godfrey, GNP | |
374 Stockholm St, Brooklyn, NY 11237-4006 | |
(718) 486-4221 | |
(718) 508-4632 |
Full Name | Merlene Godfrey |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 374 Stockholm 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 |
---|---|---|---|
1588774434 | NPI | - | NPPES |
02367375 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | F340141 (New York) | Primary |
Entity Name | Glenridge Medical Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639236854 PECOS PAC ID: 6709871767 Enrollment ID: O20040419000672 |
Mailing Address | Practice Location Address |
---|---|
Merlene Godfrey, GNP 385 Seneca Ave, Redwood, NY 11385 Ph: (718) 749-1216 | Merlene Godfrey, GNP 374 Stockholm St, Brooklyn, NY 11237-4006 Ph: (718) 486-4221 |
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