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NPI Code Detail

MEDICARE: NATALIE ELCOCK RN

MEDICARE:   NATALIE  ELCOCK  RN
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
1163W00000XRegistered Nurse369118-1NY

General Provider Information

NPI Number : 1013272418
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE ELCOCK RN
Provider Business Mailing Address
First Line : 430 HAWTHORNE ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-1534
Country : US
Telephone Number : 917-804-7115
Fax Number :
Provider Business Practice Location Address
First Line : 430 HAWTHORNE ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-1534
Country : US
Telephone Number : 917-804-7115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2012
Last Update Date : 07/11/2012

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