Dr Joseph Kasamba, DNP | |
388 Macon St, Brooklyn, NY 11233-1008 | |
(347) 336-0582 | |
Not Available |
Full Name | Dr Joseph Kasamba |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 388 Macon 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 |
---|---|---|---|
1669803110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 672861 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 402638 (New York) | Primary |
Entity Name | Jnk Np In Psychiatry Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750168936 PECOS PAC ID: 3577912989 Enrollment ID: O20240722000773 |
Mailing Address | Practice Location Address |
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Dr Joseph Kasamba, DNP Po Box 1155, Monroe, NY 10949-8155 Ph: (347) 336-0582 | Dr Joseph Kasamba, DNP 388 Macon St, Brooklyn, NY 11233-1008 Ph: (347) 336-0582 |
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