Thomas Leon Mitchell Skurtu, AGPCNP-BC | |
170 Buffalo Ave, Brooklyn, NY 11213-2421 | |
(718) 252-9800 | |
Not Available |
Full Name | Thomas Leon Mitchell Skurtu |
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Gender | Male |
Speciality | Nurse Practitioner - Adult Health |
Location | 170 Buffalo 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 |
---|---|---|---|
1417554940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 309800 (New York) | Primary |
Entity Name | Medical Director Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20160621000218 |
Entity Name | Prospect Park Operating, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841365509 PECOS PAC ID: 7113927765 Enrollment ID: O20211221001121 |
Mailing Address | Practice Location Address |
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Thomas Leon Mitchell Skurtu, AGPCNP-BC 477 84th St Unit 2, Brooklyn, NY 11209-4711 Ph: () - | Thomas Leon Mitchell Skurtu, AGPCNP-BC 170 Buffalo Ave, Brooklyn, NY 11213-2421 Ph: (718) 252-9800 |
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