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NPI Code Detail

MEDICARE: SVETLANA PERRY REGISTERED NURSE

MEDICARE: SVETLANA PERRY REGISTERED NURSE
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 Nurse26NR17587100NJ
2171100000XAcupuncturist0032251NY
3163W00000XRegistered Nurse685413NY

General Provider Information

NPI Number : 1205021979
Entity Type Code : Individual
Provider Name (Legal Business Name) : SVETLANA PERRY REGISTERED NURSE
Provider Business Mailing Address
First Line : 611 BANNER AVE
Second Line : APT 4D
City : BROOKLYN
State : NY
Zip : 11235-6755
Country : US
Telephone Number : 347-216-2397
Fax Number :
Provider Business Practice Location Address
First Line : 2212 PLUMB 1ST ST APT 3A
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-5763
Country : US
Telephone Number : 347-216-2397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2007
Last Update Date : 01/24/2023

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Directions to “ SVETLANA PERRY REGISTERED NURSE” Practice Location

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