Mrs Rosamond Payne, NP | |
1 Brookdale Plz, Emergency Department, Brooklyn, NY 11212-3139 | |
(718) 240-5180 | |
Not Available |
Full Name | Mrs Rosamond Payne |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1 Brookdale Plz, 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 |
---|---|---|---|
1427276005 | NPI | - | NPPES |
02258208 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | F333176 (New York) | Primary |
Entity Name | Brookdale Hospital Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720028772 PECOS PAC ID: 4284545799 Enrollment ID: O20031120000600 |
Mailing Address | Practice Location Address |
---|---|
Mrs Rosamond Payne, NP 80 Marcus Dr, Provider Enrollment, Melville, NY 11747-4230 Ph: (631) 391-7889 | Mrs Rosamond Payne, NP 1 Brookdale Plz, Emergency Department, Brooklyn, NY 11212-3139 Ph: (718) 240-5180 |
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