MEDICARE: FAMILY HEALTH NP CARE ON 59 PLLC

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
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1003703604
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY HEALTH NP CARE ON 59 PLLC

Provider Business Mailing Address
First Line	:	2142 59TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-2502
Country	:	US
Telephone Number	:	347-962-7049
Fax Number	:

Provider Business Practice Location Address
First Line	:	2142 59TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-2502
Country	:	US
Telephone Number	:	347-962-7049
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YITTY FISCH
Credential	:	NP
Telephone Number	:	347-962-7049

Provider Enumeration Date	:	06/18/2025
Last Update Date	:	06/18/2025

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