ROBERT TERRELONGE


Address: 791 Drew St, Brooklyn, NY 11208
Phone: 3477555214

ROBERT TERRELONGE (NPI# 1477098606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477098606
Entity Type Individual
Full Name ROBERT TERRELONGE
Credential RN
Practice Address 791 Drew St
Brooklyn
NY 11208
Mailing Address 791 Drew St
Brooklyn
NY 11208-4703
Practice Telephone 3477555214
Mailing Telephone 3477555214
Enumeration Date 2016-12-26
Last Update Date 2018-07-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 648536 NY Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
402484 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY SERVICE PROVIDERS 648536 01

Other Providers ROBERT TERRELONGE

NPI Name Taxonomy Address Enumeration
1902056005 Robert Lee Terrelonge Nurse Practitioner 33 Clarendon Dr, Valley Stream, NY 11580-2503 2008-09-25

Office Location

Street Address 791 DREW ST
City BROOKLYN
State NY
Zip Code 11208

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKLYN
Zip Code 11208

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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