MEDICARE: MS. FATME JOUNI NP

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	363LA2200X	Adult Health Nurse Practitioner	310947	NY

General Provider Information

NPI Number	:	1326763244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. FATME JOUNI NP

Provider Business Mailing Address
First Line	:	9511 SHORE RD APT 302
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-7540
Country	:	US
Telephone Number	:	313-244-5733
Fax Number	:

Provider Business Practice Location Address
First Line	:	172 E 75TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-3451
Country	:	US
Telephone Number	:	646-753-0412
Fax Number	:

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

Provider Enumeration Date	:	10/04/2022
Last Update Date	:	10/04/2022

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