Mrs Lydia Brown, NP | |
22115 113th Dr, Queens Village, NY 11429-2621 | |
(718) 776-3381 | |
Not Available |
Full Name | Mrs Lydia Brown |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 22115 113th Dr, Queens Village, 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 |
---|---|---|---|
1033520168 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 22559567 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | 338687 (New York) | Primary |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lydia Brown, NP 22115 113th Dr, Queens Village, NY 11429-2621 Ph: (718) 883-3000 | Mrs Lydia Brown, NP 22115 113th Dr, Queens Village, NY 11429-2621 Ph: (718) 776-3381 |
Miss Rose Natania Francois, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10404 218th Pl, Queens Village, NY 11429 Phone: 718-776-5119 | |
Ms. Renee Jodelle Praddy, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22002 108th Ave, Queens Village, NY 11429 Phone: 718-812-8494 | |
Geralda Pelissier, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11206 Witthoff Ave, Queens Village, NY 11429 Phone: 917-653-8017 | |
Gerlene Valcin, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22131 111th Ave, Queens Village, NY 11429 Phone: 718-708-3026 | |
Ramadevi Arcot, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21259 Jamaica Ave # 202, Queens Village, NY 11428 Phone: 718-710-5837 | |
Ravella Jainarain, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10415 211th Pl, Queens Village, NY 11429 Phone: 917-224-0216 | |
Dominique Cassandra Darguin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21415 113th Ave, Queens Village, NY 11429 Phone: 347-985-6862 |