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NPI Code Detail

MEDICARE: MRS. ANTOINETTE E DAY NURSE PRACTITIONER

MEDICARE: MRS. ANTOINETTE E DAY 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
1363LA2200XAdult Health Nurse Practitioner306176NY

General Provider Information

NPI Number : 1356691612
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANTOINETTE E DAY NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 2412 CHURCH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-4005
Country : US
Telephone Number : 347-404-5950
Fax Number :
Provider Business Practice Location Address
First Line : 2412 CHURCH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-4005
Country : US
Telephone Number : 347-404-5950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2012
Last Update Date : 11/08/2013

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