Susan E Weiss, NP | |
760 Broadway, Brooklyn, NY 11206-5317 | |
(718) 963-7933 | |
(718) 630-3110 |
Full Name | Susan E Weiss |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 760 Broadway, 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 |
---|---|---|---|
1073680690 | NPI | - | NPPES |
01854282 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F331108 (New York) | Primary |
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 |
---|---|
Susan E Weiss, NP 760 Broadway, Brooklyn, NY 11206-5317 Ph: (718) 963-7933 | Susan E Weiss, NP 760 Broadway, Brooklyn, NY 11206-5317 Ph: (718) 963-7933 |
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Viletha Small-clarke, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 441 E 53rd St, Brooklyn, NY 11203 Phone: 347-982-3034 | |
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