Brooklyn Medical Office Pllc | |
1681 44th St Brooklyn NY 11204-1049 | |
(845) 662-2404 | |
Not Available |
Full Name | Brooklyn Medical Office Pllc |
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Speciality | Family Medicine |
Location | 1681 44th St, Brooklyn, New York |
Authorized Official Name and Position | Blimy Jacobs (AUTHRORIZED OFFICIAL) |
Authorized Official Contact | 8456622404 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Brooklyn Medical Office Pllc 1681 44th St Brooklyn NY 11204-1049 Ph: (845) 662-2404 | Brooklyn Medical Office Pllc 1681 44th St Brooklyn NY 11204-1049 Ph: (845) 662-2404 |
NPI Number | 1760138648 |
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Provider Enumeration Date | 03/01/2022 |
Last Update Date | 04/26/2023 |
Medicare PECOS PAC ID | 7315326972 |
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Medicare Enrollment ID | O20220628001993 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760138648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Provider Name | Nichole Lewis |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1528206729 PECOS PAC ID: 6709034036 Enrollment ID: I20120912000137 |
Provider Name | Jayne A Agyepong |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508124322 PECOS PAC ID: 2264678770 Enrollment ID: I20130429000073 |
Provider Name | Natacha Baron |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780600213 PECOS PAC ID: 2961729926 Enrollment ID: I20150401000213 |
Provider Name | Cherril M Rhamdeow |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598104499 PECOS PAC ID: 0648588798 Enrollment ID: I20151009000425 |
Provider Name | Alice T Nanyonga |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063441608 PECOS PAC ID: 2466456397 Enrollment ID: I20170113001145 |
Provider Name | Jessica Isoke Edwards |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265848121 PECOS PAC ID: 3971874827 Enrollment ID: I20170810002205 |
Provider Name | Katrina L Ison |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760918213 PECOS PAC ID: 9537435482 Enrollment ID: I20171023000184 |
Provider Name | Maribel Abreu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972003275 PECOS PAC ID: 2860757085 Enrollment ID: I20180517001207 |
Provider Name | Nurani Madhani |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639583966 PECOS PAC ID: 9739308701 Enrollment ID: I20210303003451 |
Provider Name | Nadine Jeune |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558745976 PECOS PAC ID: 4789054289 Enrollment ID: I20221227001849 |
Provider Name | Kathleen E Dupera |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033850250 PECOS PAC ID: 6204208630 Enrollment ID: I20230214000685 |
Provider Name | Jeanne St Hilaire |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417614355 PECOS PAC ID: 7810354602 Enrollment ID: I20230609001985 |
Provider Name | Grace Zimmer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487148094 PECOS PAC ID: 8729330519 Enrollment ID: I20240311002977 |
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