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NPI Code Detail

MEDICARE: EGGER NP IN PSYCHIATRY PC

MEDICARE: EGGER NP IN PSYCHIATRY PC
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 Practitioner

General Provider Information

NPI Number : 1275157026
Entity Type Code : Organization
Provider Name (Legal Business Name) : EGGER NP IN PSYCHIATRY PC
Provider Business Mailing Address
First Line : 83 WOODBINE ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11221-4944
Country : US
Telephone Number : 516-761-7556
Fax Number : 347-766-6965
Provider Business Practice Location Address
First Line : 83 WOODBINE ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11221-4944
Country : US
Telephone Number : 516-761-7556
Fax Number : 347-766-6965
Authorized Official
Title or Position : OWNER
Name : KRISTEN E EGGER
Credential : PMHNP-BC
Telephone Number : 516-761-7556
Provider Enumeration Date : 06/07/2020
Last Update Date : 07/12/2022

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