Healthcare Provider Details

I. General information

NPI: 1285223032
Provider Name (Legal Business Name): TENZIN CHOEKYI FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2021
Last Update Date: 01/15/2021
Certification Date: 01/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7404 5TH AVE
BROOKLYN NY
11209-2704
US

IV. Provider business mailing address

4525 48TH ST APT 3E
WOODSIDE NY
11377-5344
US

V. Phone/Fax

Practice location:
  • Phone: 718-439-5111
  • Fax: 718-493-6108
Mailing address:
  • Phone: 646-753-3614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number346272
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: