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NPI Code Detail

MEDICARE: CHANA VAISELBERG

MEDICARE:   CHANA  VAISELBERG
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
1363LF0000XFamily Nurse Practitioner340044NY

General Provider Information

NPI Number : 1508235714
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANA VAISELBERG
Provider Business Mailing Address
First Line : 358 KINGSTON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11213-4332
Country : US
Telephone Number : 718-778-7272
Fax Number :
Provider Business Practice Location Address
First Line : 913 AVENUE L
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-4707
Country : US
Telephone Number : 718-859-8391
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2015
Last Update Date : 12/28/2022

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Directions to “ CHANA VAISELBERG ” Practice Location

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