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NPI Code Detail

MEDICARE: KERRI ELIZABETH BUCH ELSABROUT NP

MEDICARE: KERRI ELIZABETH BUCH ELSABROUT NP
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
1363LF0000XFamily Nurse PractitionerF3344214NY
2163W00000XRegistered Nurse524378NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518933316
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRI ELIZABETH BUCH ELSABROUT NP
Provider Business Mailing Address
First Line : 41 E POST RD
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10601-4607
Country : US
Telephone Number : 914-681-2430
Fax Number : 914-681-2941
Provider Business Practice Location Address
First Line : 41 E POST RD
Second Line : ATTN: ADMINISTRATION
City : WHITE PLAINS
State : NY
Zip : 10601-4607
Country : US
Telephone Number : 914-681-1210
Fax Number : 914-681-2839
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 12/31/2014

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