Shanelle Veronica Stewart, | |
1381 E 72nd St, Brooklyn, NY 11234-5803 | |
(347) 854-3186 | |
Not Available |
Full Name | Shanelle Veronica Stewart |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1381 E 72nd 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 |
---|---|---|---|
1235615048 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 343909 (New York) | Primary |
Entity Name | Rj Medical & Urgent Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346632262 PECOS PAC ID: 0547567828 Enrollment ID: O20160331001761 |
Mailing Address | Practice Location Address |
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Shanelle Veronica Stewart, 1381 E 72nd St, Brooklyn, NY 11234-5803 Ph: () - | Shanelle Veronica Stewart, 1381 E 72nd St, Brooklyn, NY 11234-5803 Ph: (347) 854-3186 |
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