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NPI Code Detail

MEDICARE: MR. WINSTON PEART R.N.

MEDICARE: MR. WINSTON PEART R.N.
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
1163W00000XRegistered Nurse465281-1NY
2163WC1500XCommunity Health Registered Nurse465281-1NY
3163WH0200XHome Health Registered Nurse465281-1NY

General Provider Information

NPI Number : 1831416528
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WINSTON PEART R.N.
Provider Business Mailing Address
First Line : 1704 FLATBUSH AVE
Second Line : SUITE 196
City : BROOKLYN
State : NY
Zip : 11210-3943
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1704 FLATBUSH AVE
Second Line : SUITE 196
City : BROOKLYN
State : NY
Zip : 11210-3943
Country : US
Telephone Number : 917-385-3859
Fax Number : 646-808-0839
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2010
Last Update Date : 04/21/2010

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