| J Montelus Nurse Practitioner In Adult Health Pc | |
|
1674 Brooklyn Ave Brooklyn NY 11210-3427 | |
| (516) 661-6274 | |
| Not Available |
| Full Name | J Montelus Nurse Practitioner In Adult Health Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1674 Brooklyn Ave, Brooklyn, New York |
| Authorized Official Name and Position | Joselle Montelus (NURSE PRACTIONER/PRESIDENT) |
| Authorized Official Contact | 5166616274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J Montelus Nurse Practitioner In Adult Health Pc 1674 Brooklyn Ave Brooklyn NY 11210-3427 Ph: (516) 661-6274 | J Montelus Nurse Practitioner In Adult Health Pc 1674 Brooklyn Ave Brooklyn NY 11210-3427 Ph: (516) 661-6274 |
| NPI Number | 1073149456 |
|---|---|
| Provider Enumeration Date | 03/18/2020 |
| Last Update Date | 03/18/2020 |
| Medicare PECOS PAC ID | 9335579549 |
|---|---|
| Medicare Enrollment ID | O20200430000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073149456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Joselle Montelus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720522212 PECOS PAC ID: 8820371602 Enrollment ID: I20170202001288 |
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