MEDICARE: JAMES REMPEL NURSE PRACTITIONER

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	363LP0200X	Pediatric Nurse Practitioner	F380681-1	NY

General Provider Information

NPI Number	:	1194849026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES REMPEL NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	519 8TH ST
Second Line	:	2R
City	:	BROOKLYN
State	:	NY
Zip	:	11215-6910
Country	:	US
Telephone Number	:	718-768-0185
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 W 118TH ST # 32
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10026-1904
Country	:	US
Telephone Number	:	212-369-8339
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2007
Last Update Date	:	07/08/2007

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