Micheline Amazan, RN | |
960 Sterling Pl, Apt 2l, Brooklyn, NY 11213-2551 | |
(718) 807-6979 | |
Not Available |
Full Name | Micheline Amazan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 960 Sterling Pl, 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 |
---|---|---|---|
1588806954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 624552 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | 350996 (New York) | Primary |
Entity Name | Mount Vernon Neighborhood Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295912541 PECOS PAC ID: 0345139671 Enrollment ID: O20040313000345 |
Mailing Address | Practice Location Address |
---|---|
Micheline Amazan, RN 960 Sterling Pl, Apt 2l, Brooklyn, NY 11213-2551 Ph: (718) 807-6979 | Micheline Amazan, RN 960 Sterling Pl, Apt 2l, Brooklyn, NY 11213-2551 Ph: (718) 807-6979 |
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