Ralph Beaubrun, FNP | |
5205 Church Ave, Brooklyn, NY 11203-3513 | |
(718) 688-8088 | |
Not Available |
Full Name | Ralph Beaubrun |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 5205 Church 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 |
---|---|---|---|
1144697483 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 26NJ01415200 (New Jersey) | Secondary |
Entity Name | New York City Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548208127 PECOS PAC ID: 4183535305 Enrollment ID: O20040322001521 |
Mailing Address | Practice Location Address |
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Ralph Beaubrun, FNP 1105 E 59th St Fl 1, Brooklyn, NY 11234-3301 Ph: (347) 499-2912 | Ralph Beaubrun, FNP 5205 Church Ave, Brooklyn, NY 11203-3513 Ph: (718) 688-8088 |
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