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NPI Code Detail

MEDICARE: NEYSSA FARADJA LALANNE

MEDICARE:   NEYSSA FARADJA LALANNE
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1942126057
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEYSSA FARADJA LALANNE
Provider Business Mailing Address
First Line : 1328 E 83RD ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-5102
Country : US
Telephone Number : 917-536-4607
Fax Number :
Provider Business Practice Location Address
First Line : 1328 E 83RD ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-5102
Country : US
Telephone Number : 917-536-4607
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2026
Last Update Date : 06/24/2026

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Directions to “ NEYSSA FARADJA LALANNE ” Practice Location

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