PETIA TRIFONOVA PAPAZOGLOU


Address: 7620 Bay Pkwy, Suite 1b, Brooklyn, NY 11214-1532
Phone: 7182321492

PETIA TRIFONOVA PAPAZOGLOU (NPI# 1558798850) 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) 1558798850
Entity Type Individual
Full Name PETIA TRIFONOVA PAPAZOGLOU
Credential NURSE PRACTITIONAL
Practice Address 7620 Bay Pkwy
Suite 1b
Brooklyn
NY 11214-1532
Mailing Address 7620 Bay Pkwy
Suite 1b
Brooklyn
NY 11214
Practice Telephone 7182321492
Mailing Telephone 5163614120
Enumeration Date 2013-10-01
Last Update Date 2013-10-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
401650 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7620 BAY PKWY
SUITE 1B
City BROOKLYN
State NY
Zip Code 11214-1532

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568466977 Irina N Fuchs Family Medicine 7620 Bay Pkwy, Ste 1c, Brooklyn, NY 11214-1534 2005-06-13
1407159296 Maksym Lider Counselor 7620 Bay Pkwy, Suite 1c, Brooklyn, NY 11214-1532 2010-12-16
1376877878 Floriana Rudner Physician Assistant 7620 Bay Pkwy, Suite1a, Brooklyn, NY 11214-1532 2009-09-30
1205006905 Szs Medical Care Pllc Internal Medicine 7620 Bay Pkwy, Brooklyn, NY 11214-1516 2008-03-10

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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 11214

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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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