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NPI Code Detail

MEDICARE: JOCHEBED NATHAN

MEDICARE:   JOCHEBED  NATHAN
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
1174400000XSpecialist

General Provider Information

NPI Number : 1962141416
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOCHEBED NATHAN
Provider Business Mailing Address
First Line : 1181 E 12TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-4811
Country : US
Telephone Number : 718-253-7006
Fax Number :
Provider Business Practice Location Address
First Line : 6210 15TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-5403
Country : US
Telephone Number : 718-253-7006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2022
Last Update Date : 06/02/2022

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Directions to “ JOCHEBED NATHAN ” Practice Location

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