| Blue Spectrum Family Health Np Pllc | |
|
2 Ocean Dr Apt W09f Brooklyn NY 11224-3768 | |
| (718) 200-8094 | |
| (718) 228-3868 |
| Full Name | Blue Spectrum Family Health Np Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2 Ocean Dr Apt W09f, Brooklyn, New York |
| Authorized Official Name and Position | Juan Carlos Ortiz Calcano (BUSINESS OWNER/FAMILY HEALTH NP) |
| Authorized Official Contact | 7182008094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Spectrum Family Health Np Pllc 13201 Roosevelt Ave Pmb 818149 Flushing NY 11354-5258 Ph: (718) 200-8094 | Blue Spectrum Family Health Np Pllc 2 Ocean Dr Apt W09f Brooklyn NY 11224-3768 Ph: (718) 200-8094 |
| NPI Number | 1194326983 |
|---|---|
| Provider Enumeration Date | 11/06/2020 |
| Last Update Date | 04/25/2024 |
| Medicare PECOS PAC ID | 8820401383 |
|---|---|
| Medicare Enrollment ID | O20201231000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194326983 | NPI | - | NPPES |
| Provider Name | Juan C Ortiz Calcano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952942393 PECOS PAC ID: 4183058589 Enrollment ID: I20191217002918 |
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