Organization · Type 2 NPI
Blue Spectrum Family Health NP PLLC
Primary Care Nurse Practitioner · Brooklyn, NY
NPI number
1194326983
Active
Practice location
2 Ocean Dr Apt W09F
Brooklyn, NY 11224-3768
Fax (718) 228-3868
Mailing address
13201 Roosevelt Ave Pmb 818149
Flushing, NY 11354-5258
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | None listed |
| Health Service Clinic/Center | 261QH0100X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Urgent Care Clinic/Center | 261QU0200X | None listed |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1194326983
Blue Spectrum Family Health NP PLLC's National Provider Identifier is 1194326983, issued on Nov 6, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 25, 2024.