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Organization

SIMPLE NURSE PRACTITIONER IN FAMILY HEALTH PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IRENA HARTELL (DIRECTOR)
(646) 588-9560
Entity
Organization

Contact information

Practice address
2327 83RD ST STE D, BROOKLYN, NY 11214-2749
(718) 252-4222
Mailing address
2327 83RD ST STE D, BROOKLYN, NY 11214-2749
(718) 252-4222

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
207RP1001X
Pulmonary Disease Physician
2085R0202X
Diagnostic Radiology Physician
364SF0001X
Family Health Clinical Nurse Specialist
Primary

Other

Enumeration date
11/21/2019
Last updated
11/21/2019
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