Sarah Phan, DNP, CPNP-PC | |
650 Fulton St, Brooklyn, NY 11217-1517 | |
(718) 596-9800 | |
Not Available |
Full Name | Sarah Phan |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 650 Fulton 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 |
---|---|---|---|
1235732827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 802683 (New York) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | F383400 (New York) | Primary |
Entity Name | Bedford Stuyvesant Family Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033178561 PECOS PAC ID: 0143361238 Enrollment ID: O20180423001743 |
Mailing Address | Practice Location Address |
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Sarah Phan, DNP, CPNP-PC 560 W 168th St, New York, NY 10032-3917 Ph: () - | Sarah Phan, DNP, CPNP-PC 650 Fulton St, Brooklyn, NY 11217-1517 Ph: (718) 596-9800 |
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