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NPI Code Detail

MEDICARE: DEBRA AHR RN

MEDICARE: DEBRA AHR 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 Nurse465115NY

General Provider Information

NPI Number : 1194090977
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA AHR RN
Provider Business Mailing Address
First Line : 8601 RIDGE BLVD
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-4905
Country : US
Telephone Number : 718-745-6610
Fax Number : 718-238-6073
Provider Business Practice Location Address
First Line : 8601 RIDGE BLVD
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-4905
Country : US
Telephone Number : 718-745-6610
Fax Number : 718-238-6073
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2012
Last Update Date : 03/13/2012

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