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NPI Code Detail

MEDICARE: KYLIE TERNES

MEDICARE: KYLIE TERNES
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
12084A2900XNeurocritical Care Physician331208NY

General Provider Information

NPI Number : 1790313542
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLIE TERNES
Provider Business Mailing Address
First Line : 150 55TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-2508
Country : US
Telephone Number : 718-630-7000
Fax Number :
Provider Business Practice Location Address
First Line : 150 55TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-2508
Country : US
Telephone Number : 718-630-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2020
Last Update Date : 06/12/2026

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Directions to “ KYLIE TERNES ” Practice Location

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