| Tailored Healthcare Services-nurse Practitioner In Adult Health | |
|
9621 Avenue B Brooklyn NY 11236-1321 | |
| (347) 286-1884 | |
| Not Available |
| Full Name | Tailored Healthcare Services-nurse Practitioner In Adult Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 9621 Avenue B, Brooklyn, New York |
| Authorized Official Name and Position | Winsome Banain (OWNER) |
| Authorized Official Contact | 3472861884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tailored Healthcare Services-nurse Practitioner In Adult Health 9621 Avenue B Brooklyn NY 11236-1321 Ph: () - | Tailored Healthcare Services-nurse Practitioner In Adult Health 9621 Avenue B Brooklyn NY 11236-1321 Ph: (347) 286-1884 |
| NPI Number | 1225812332 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 01/10/2024 |
| Medicare PECOS PAC ID | 5890140115 |
|---|---|
| Medicare Enrollment ID | O20231006000235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225812332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Winsome Elizabeth Benain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972113694 PECOS PAC ID: 2769874346 Enrollment ID: I20220111000459 |
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