MEDICARE: JENNIFER GARIB FNP-BC

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
1	163WG0000X	General Practice Registered Nurse	824073	NY
2	363L00000X	Nurse Practitioner	353385	NY
3	363LF0000X	Family Nurse Practitioner	11035015	FL
4	363LF0000X	Family Nurse Practitioner	353385	NY
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	353385	NY
6	163WH0200X	Home Health Registered Nurse	824073	NY
7	363LC1500X	Community Health Nurse Practitioner	353385	NY

General Provider Information

NPI Number	:	1568708824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER GARIB FNP-BC

Provider Business Mailing Address
First Line	:	629 E 22ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-1101
Country	:	US
Telephone Number	:	917-804-3705
Fax Number	:	347-851-8326

Provider Business Practice Location Address
First Line	:	629 E 22ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-1101
Country	:	US
Telephone Number	:	917-804-3705
Fax Number	:	347-851-8326

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2012
Last Update Date	:	05/21/2026

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