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NPI Code Detail

MEDICARE: BE PIETROS PMHNP

MEDICARE: BE PIETROS PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerRN2381550MA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner404912NY
3163W00000XRegistered NurseR240740MD
4164X00000XLicensed Vocational Nurse306063-1NY

General Provider Information

NPI Number : 1184917726
Entity Type Code : Individual
Provider Name (Legal Business Name) : BE PIETROS PMHNP
Provider Business Mailing Address
First Line : 3100 47TH AVE STE 3100
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-3050
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2614 HALPERIN AVE
Second Line :
City : BRONX
State : NY
Zip : 10461
Country : US
Telephone Number : 718-583-7736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2011
Last Update Date : 07/03/2023

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