Organization
FAMILY NURSE PRACITTIONER OUTPATIENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRINCE M BARTHOLOMEW FNP-BC (PRESIDENT/CEP)
(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
Primary
F337635
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04058022
—
NY
Enumeration date
07/27/2016
Last updated
07/27/2016
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