Olfat Khader Doleh, FNP | |
1414 Newkirk Ave, Brooklyn, NY 11226-6599 | |
(718) 759-6015 | |
Not Available |
Full Name | Olfat Khader Doleh |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1414 Newkirk Ave, 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 |
---|---|---|---|
1508375718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F341178 (New York) | Primary |
Entity Name | Mercy Medical Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083733026 PECOS PAC ID: 3274549332 Enrollment ID: O20060227000349 |
Mailing Address | Practice Location Address |
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Olfat Khader Doleh, FNP 857 70th St, Brooklyn, NY 11228-1012 Ph: () - | Olfat Khader Doleh, FNP 1414 Newkirk Ave, Brooklyn, NY 11226-6599 Ph: (718) 759-6015 |
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