Paulemon, Phedre Phara

Paulemon, Phedre Phara is an sole proprietor health care provider with primary practice located at 2601 Ocean Pkwy Pagny, Brooklyn NY 11235. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Paulemon, Phedre Phara can be contacted via phone (718) 616-5500.

Contact Information

Primary practice address
2601 Ocean Pkwy Pagny Brooklyn NY 11235
Phone: (718) 616-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2598428 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 343011 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 12.0095564 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 343011 New York

Profile Details

NPI number 1376748558
LBN Legal business name Paulemon, Phedre Phara
Credentials MSN, APRN, FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2007
Last updated Oct 19th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376748558 NPPES
New York MEDICAID 05401478
New York MEDICAID 83-3096541
New York Other 0798935

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