Veronica Ngozi Ibeneme, NURSE PRACTITIONER | |
1299 Ocean Ave, 1e, Brooklyn, NY 11230-2542 | |
(866) 551-9700 | |
Not Available |
Full Name | Veronica Ngozi Ibeneme |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1299 Ocean 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 |
---|---|---|---|
1083147003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F404253 (New York) | Primary |
163W00000X | Registered Nurse | 620960 (New York) | Secondary |
Entity Name | Interfaith Psychiatry Services, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487958559 PECOS PAC ID: 0244409613 Enrollment ID: O20110802000215 |
Mailing Address | Practice Location Address |
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Veronica Ngozi Ibeneme, NURSE PRACTITIONER 1299 Ocean Ave, 1e, Brooklyn, NY 11230-2542 Ph: (866) 551-9700 | Veronica Ngozi Ibeneme, NURSE PRACTITIONER 1299 Ocean Ave, 1e, Brooklyn, NY 11230-2542 Ph: (866) 551-9700 |
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