| Np In Family Health Banayan Pc | |
|
980 E 12th St Brooklyn NY 11230-3672 | |
| (718) 534-0689 | |
| Not Available |
| Full Name | Np In Family Health Banayan Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 980 E 12th St, Brooklyn, New York |
| Authorized Official Name and Position | Bracha Banayan (OWNER) |
| Authorized Official Contact | 7184906002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Np In Family Health Banayan Pc 980 E 12th St Brooklyn NY 11230-3672 Ph: () - | Np In Family Health Banayan Pc 980 E 12th St Brooklyn NY 11230-3672 Ph: (718) 534-0689 |
| NPI Number | 1255902805 |
|---|---|
| Provider Enumeration Date | 07/06/2021 |
| Last Update Date | 07/06/2021 |
| Medicare PECOS PAC ID | 5698170678 |
|---|---|
| Medicare Enrollment ID | O20210830001806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255902805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bracha Leah Banayan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609258235 PECOS PAC ID: 0547577546 Enrollment ID: I20150923000625 |
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