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NPI Code Detail

MEDICARE: MS. MYRIAM BERTHNELL JOSEPH ANP

MEDICARE:  MS. MYRIAM BERTHNELL JOSEPH  ANP
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 PractitionerF304982-1NY
2163W00000XRegistered Nurse579102-1NY

General Provider Information

NPI Number : 1427283944
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MYRIAM BERTHNELL JOSEPH ANP
Provider Business Mailing Address
First Line : 650 FULTON ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11217
Country : US
Telephone Number : 718-596-9800
Fax Number : 718-596-9812
Provider Business Practice Location Address
First Line : 803 STERLING PL
Second Line :
City : BROOKLYN
State : NY
Zip : 11216-3903
Country : US
Telephone Number : 718-613-1700
Fax Number : 718-363-1050
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2009
Last Update Date : 12/09/2025

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