| Larimar Family Np Services, Pllc | |
|
173 Bay 13th St Brooklyn NY 11214-5805 | |
| (718) 496-9946 | |
| Not Available |
| Full Name | Larimar Family Np Services, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 173 Bay 13th St, Brooklyn, New York |
| Authorized Official Name and Position | Maria Evola (NP/PRESIDENT) |
| Authorized Official Contact | 7184969946 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Larimar Family Np Services, Pllc 173 Bay 13th St Brooklyn NY 11214-5805 Ph: () - | Larimar Family Np Services, Pllc 173 Bay 13th St Brooklyn NY 11214-5805 Ph: (718) 496-9946 |
| NPI Number | 1760921712 |
|---|---|
| Provider Enumeration Date | 02/22/2017 |
| Last Update Date | 02/22/2017 |
| Medicare PECOS PAC ID | 6103185558 |
|---|---|
| Medicare Enrollment ID | O20180111000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760921712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | TF4601401 (New York) | Primary |
| Provider Name | Maria Evola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689765109 PECOS PAC ID: 8123086790 Enrollment ID: I20041229000435 |
| Provider Name | Yelena Gayetskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851304372 PECOS PAC ID: 2567464209 Enrollment ID: I20070208000248 |
| Provider Name | David Cheriyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356658801 PECOS PAC ID: 7911157573 Enrollment ID: I20121017000656 |
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