| Prn PC | |
|
4050 Nostrand Ave Ste 1m Brooklyn NY 11235-2250 | |
| (347) 450-6040 | |
| (201) 221-8073 |
| Full Name | Prn PC |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 4050 Nostrand Ave Ste 1m, Brooklyn, New York |
| Authorized Official Name and Position | Yana Ryzhakova (OWNER) |
| Authorized Official Contact | 3474506040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prn PC 2355 E 12th St Apt 2g Brooklyn NY 11229-4224 Ph: (646) 696-1150 | Prn PC 4050 Nostrand Ave Ste 1m Brooklyn NY 11235-2250 Ph: (347) 450-6040 |
| NPI Number | 1427416189 |
|---|---|
| Provider Enumeration Date | 02/09/2016 |
| Last Update Date | 12/12/2024 |
| Certification Date | 12/12/2024 |
| Medicare PECOS PAC ID | 9830481597 |
|---|---|
| Medicare Enrollment ID | O20160718000256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427416189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 340277 (New York) | Primary |
| Provider Name | Yana Ryzhakova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033576863 PECOS PAC ID: 6002108768 Enrollment ID: I20160718000386 |
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