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NPI Code Detail

MEDICARE: EKATHERINA OSMAN DO

MEDICARE: EKATHERINA OSMAN DO
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
12084P0804XChild & Adolescent Psychiatry Physician291332NY
22084P0800XPsychiatry Physician291332NY

General Provider Information

NPI Number : 1629335344
Entity Type Code : Individual
Provider Name (Legal Business Name) : EKATHERINA OSMAN DO
Provider Business Mailing Address
First Line : 127 SAINT FELIX ST APT 3
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-3491
Country : US
Telephone Number : 917-742-9857
Fax Number :
Provider Business Practice Location Address
First Line : 926 BEDFORD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11205-3913
Country : US
Telephone Number : 718-875-6900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2012
Last Update Date : 01/02/2024

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