Tony Bao, FNP-C | |
86 Brighton 1st Pl Fl 1, Brooklyn, NY 11235-7473 | |
(347) 374-5026 | |
Not Available |
Full Name | Tony Bao |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 86 Brighton 1st Pl Fl 1, 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 |
---|---|---|---|
1265838874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 693651 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | 349454 (New York) | Primary |
Entity Name | Insight Comprehensive Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770253452 PECOS PAC ID: 2668862483 Enrollment ID: O20211209000354 |
Mailing Address | Practice Location Address |
---|---|
Tony Bao, FNP-C 2685 E 22nd St Apt 1b, Brooklyn, NY 11235-2871 Ph: (347) 977-4507 | Tony Bao, FNP-C 86 Brighton 1st Pl Fl 1, Brooklyn, NY 11235-7473 Ph: (347) 374-5026 |
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