| Kings County Np In Psychiatry Pllc | |
|
300 Cadman Plz W Fl 12 Brooklyn NY 11201-3226 | |
| (929) 586-2002 | |
| Not Available |
| Full Name | Kings County Np In Psychiatry Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 300 Cadman Plz W Fl 12, Brooklyn, New York |
| Authorized Official Name and Position | Kemi Abdul (PROVIDER) |
| Authorized Official Contact | 9194131335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kings County Np In Psychiatry Pllc 300 Cadman Plz W Fl 12 Brooklyn NY 11201-3226 Ph: (929) 586-2002 | Kings County Np In Psychiatry Pllc 300 Cadman Plz W Fl 12 Brooklyn NY 11201-3226 Ph: (929) 586-2002 |
| NPI Number | 1962236562 |
|---|---|
| Provider Enumeration Date | 08/27/2024 |
| Last Update Date | 04/18/2025 |
| Certification Date | 04/18/2025 |
| Medicare PECOS PAC ID | 8921532532 |
|---|---|
| Medicare Enrollment ID | O20241105002044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962236562 | NPI | - | NPPES |
| Provider Name | Kemi Abdul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437318755 PECOS PAC ID: 1456743582 Enrollment ID: I20220121000750 |
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