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Organization
FAMILY NURSE PRACTITIONER OUTPATIENT SERVICES
Active
Organization
FAMILY NURSE PRACTITIONER OUTPATIENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRINCE MICHAEL BARTHOLOMEW FNP (CEO)
(718) 483-4958
Entity
Organization
Contact information
Practice address
2807 KINGS HWY, 4F, BROOKLYN, NY 11229-1860
(718) 483-4958
(718) 247-1651
Mailing address
2807 KINGS HWY, 4F, BROOKLYN, NY 11229-1860
(718) 483-4958
(718) 247-1651
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
F337635
NY
261QU0200X
Urgent Care Clinic/Center
Primary
F337635
NY
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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