Tayler Edmond, | |
3709 Flatlands Ave, Brooklyn, NY 11234-3507 | |
(718) 444-7766 | |
Not Available |
Full Name | Tayler Edmond |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 3709 Flatlands 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 |
---|---|---|---|
1669257788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 311438 (New York) | Primary |
Entity Name | Kings County House Calls Np In Family Health Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962976274 PECOS PAC ID: 3971844606 Enrollment ID: O20190408000959 |
Mailing Address | Practice Location Address |
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Tayler Edmond, 3709 Flatlands Ave, Brooklyn, NY 11234-3507 Ph: (718) 444-7766 | Tayler Edmond, 3709 Flatlands Ave, Brooklyn, NY 11234-3507 Ph: (718) 444-7766 |
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