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General NPI Number Information
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NPI Number | 1881056570
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Entity Type | Individual
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Provider Name | GALINA LENYK KOLOTSI FNP
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Gender | Female
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 3130 BRIGHTON 6TH ST STE 1D
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City | BROOKLYN
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State | NY
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Zip | 11235-6970
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Country | US
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Telephone | 718-747-4777
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Fax | 718-975-4337
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Provider Business Mailing Address
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Address Line | 2952 BRIGHTON 3RD ST STE 201
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City | BROOKLYN
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State | NY
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Zip | 11235-6897
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Country | US
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Telephone | 718-747-4777
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Fax | 718-975-4337
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F340451
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License Number State | NY
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