Individual
BERQUISE PASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 PAERDEGAT 4TH ST, BROOKLYN, NY 11236-4136
(646) 353-3971
Mailing address
44 PAERDEGAT 4TH ST, BROOKLYN, NY 11236-4136
(646) 353-3971
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
816631
NY
164W00000X
Licensed Practical Nurse
272953
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
635098385
—
NY
Enumeration date
07/31/2015
Last updated
01/29/2026
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