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NPI Code Detail

MEDICARE: MARCIA AITCHESON PMHNP, RN

MEDICARE: MARCIA AITCHESON PMHNP, 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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerF401974NY

General Provider Information

NPI Number : 1659728467
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIA AITCHESON PMHNP, RN
Provider Business Mailing Address
First Line : 3094 BRIGHTON 5TH ST
Second Line : APARTMENT D3
City : BROOKLYN
State : NY
Zip : 11235-7041
Country : US
Telephone Number : 347-385-6694
Fax Number :
Provider Business Practice Location Address
First Line : 16 E 16TH ST FL 5
Second Line :
City : NEW YORK
State : NY
Zip : 10003-3105
Country : US
Telephone Number : 212-206-5252
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2016
Last Update Date : 05/22/2016

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