Mrs Esther Odochi Ndukwe, FNP | |
322 Linden Boulevard, Brooklyn, NY 11226-2163 | |
(718) 282-1570 | |
Not Available |
Full Name | Mrs Esther Odochi Ndukwe |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 322 Linden Boulevard, 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 |
---|---|---|---|
1912122318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 333762 (New York) | Primary |
Entity Name | Lower Eastside Service Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063637817 PECOS PAC ID: 4880586080 Enrollment ID: O20060317000325 |
Mailing Address | Practice Location Address |
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Mrs Esther Odochi Ndukwe, FNP 909 E 5th St Apt B5, Brooklyn, NY 11230-2163 Ph: (347) 365-1918 | Mrs Esther Odochi Ndukwe, FNP 322 Linden Boulevard, Brooklyn, NY 11226-2163 Ph: (718) 282-1570 |
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