| Initiare Healthcare Services-nurse Practitioner In Adult Health Pllc | |
|
13227 156th St Jamaica NY 11434-3625 | |
| (347) 474-8020 | |
| Not Available |
| Full Name | Initiare Healthcare Services-nurse Practitioner In Adult Health Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13227 156th St, Jamaica, New York |
| Authorized Official Name and Position | Evette Facey (OWNER) |
| Authorized Official Contact | 3474748020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Initiare Healthcare Services-nurse Practitioner In Adult Health Pllc 13227 156th St Jamaica NY 11434-3625 Ph: () - | Initiare Healthcare Services-nurse Practitioner In Adult Health Pllc 13227 156th St Jamaica NY 11434-3625 Ph: (347) 474-8020 |
| NPI Number | 1932885118 |
|---|---|
| Provider Enumeration Date | 06/23/2023 |
| Last Update Date | 06/23/2023 |
| Medicare PECOS PAC ID | 1759742091 |
|---|---|
| Medicare Enrollment ID | O20230802002231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932885118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Evette A Facey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548785728 PECOS PAC ID: 9537499058 Enrollment ID: I20190926001663 |
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