Patricia Jane Grendell, APRN | |
134 N 4th St, Brooklyn, NY 11249-3296 | |
(646) 540-7748 | |
Not Available |
Full Name | Patricia Jane Grendell |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 134 N 4th 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 |
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1609006949 | NPI | - | NPPES |
Entity Name | Prospect Chartercare Sjhsri Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588089759 PECOS PAC ID: 7315179314 Enrollment ID: O20140722001928 |
Entity Name | Prospect Chartercare Rwmc, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285059287 PECOS PAC ID: 0547492696 Enrollment ID: O20140728001672 |
Mailing Address | Practice Location Address |
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Patricia Jane Grendell, APRN 5 Little Ln, White Plains, NY 10605-3012 Ph: (914) 216-2134 | Patricia Jane Grendell, APRN 134 N 4th St, Brooklyn, NY 11249-3296 Ph: (646) 540-7748 |
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