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NPI Code Detail

MEDICARE: DR. LORIE ANN BARTLEY MD

MEDICARE: DR. LORIE ANN BARTLEY MD
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
1207V00000XObstetrics & Gynecology Physician232645NY

General Provider Information

NPI Number : 1245202977
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LORIE ANN BARTLEY MD
Provider Business Mailing Address
First Line : 1654 E 53RD ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-3917
Country : US
Telephone Number : 718-253-0027
Fax Number :
Provider Business Practice Location Address
First Line : 2094 PITKIN AVE
Second Line : EAST NEW YORK DIAGNOSTIC AND TREATMENT CENTER
City : BROOKLYN
State : NY
Zip : 11207-3509
Country : US
Telephone Number : 718-240-0516
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2006
Last Update Date : 03/30/2015

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Directions to “ DR. LORIE ANN BARTLEY MD” Practice Location

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