| Rb Adult Health Np Pc | |
|
1512 Diellen Ln Elmont NY 11003-4546 | |
| (877) 258-6331 | |
| (718) 362-1651 |
| Full Name | Rb Adult Health Np Pc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1512 Diellen Ln, Elmont, New York |
| Authorized Official Name and Position | Rosalyn Beswick (OWNER) |
| Authorized Official Contact | 7183621411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rb Adult Health Np Pc 612 Corporate Way Ste 2m Valley Cottage NY 10989-2027 Ph: (718) 362-1411 | Rb Adult Health Np Pc 1512 Diellen Ln Elmont NY 11003-4546 Ph: (877) 258-6331 |
| NPI Number | 1083425235 |
|---|---|
| Provider Enumeration Date | 01/16/2025 |
| Last Update Date | 03/14/2025 |
| Medicare PECOS PAC ID | 8325568587 |
|---|---|
| Medicare Enrollment ID | O20250219000990 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083425235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | (* (Not Available)) | Primary |
| Provider Name | Rosalyn Beswick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508107855 PECOS PAC ID: 4981945631 Enrollment ID: I20190408001390 |
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