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NPI Code Detail

MEDICARE: JUDITHE ZEPHIRIN RN

MEDICARE:   JUDITHE  ZEPHIRIN  RN
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 Nurse684663NY

General Provider Information

NPI Number : 1427458686
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDITHE ZEPHIRIN RN
Provider Business Mailing Address
First Line : 18 PAERDEGAT 4TH ST
Second Line : APT. 1
City : BROOKLYN
State : NY
Zip : 11236-4136
Country : US
Telephone Number : 646-730-0546
Fax Number :
Provider Business Practice Location Address
First Line : 18 PAERDEGAT 4TH ST
Second Line : APT. 1
City : BROOKLYN
State : NY
Zip : 11236-4136
Country : US
Telephone Number : 347-488-2964
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2014
Last Update Date : 08/25/2014

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