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NPI Code Detail

MEDICARE: IVRANCE PETIGNY

MEDICARE: IVRANCE PETIGNY
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
1164W00000XLicensed Practical Nurse249193NY

General Provider Information

NPI Number : 1508479650
Entity Type Code : Individual
Provider Name (Legal Business Name) : IVRANCE PETIGNY
Provider Business Mailing Address
First Line : 8419 AVENUE N
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-5109
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8419 AVENUE N
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-5109
Country : US
Telephone Number : 718-828-2666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2020
Last Update Date : 06/07/2026

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Directions to “ IVRANCE PETIGNY ” Practice Location

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