Individual
EKATERINA KHAYTSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1329 E 17TH ST STE 1, BROOKLYN, NY 11230-6052
(718) 382-5060
Mailing address
1329 E 17TH ST STE 1, BROOKLYN, NY 11230-6052
(718) 382-5060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
720868
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405544
NY
363LP2300X
Primary Care Nurse Practitioner
F348863-01
NY
Other
Enumeration date
10/08/2018
Last updated
06/03/2024
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