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NPI Code Detail

MEDICARE: COURTNEY R SATCHELL NP

MEDICARE:   COURTNEY R SATCHELL  NP
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
1363LW0102XWomen's Health Nurse PractitionerF4212971NY

General Provider Information

NPI Number : 1902321490
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY R SATCHELL NP
Provider Business Mailing Address
First Line : 650 VICTORY BLVD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10301-3553
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 650 VICTORY BLVD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10301-3553
Country : US
Telephone Number : 646-267-7211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2017
Last Update Date : 08/07/2017

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