Provider Demographics
NPI:1023369006
Name:BARTHELEMY, KINSKY
Entity Type:Individual
Prefix:MR
First Name:KINSKY
Middle Name:
Last Name:BARTHELEMY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 FOSTER AVE APT 6G
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-6404
Mailing Address - Country:US
Mailing Address - Phone:646-575-9691
Mailing Address - Fax:
Practice Address - Street 1:3301 FOSTER AVE APT 6G
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-6404
Practice Address - Country:US
Practice Address - Phone:646-575-9691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-01
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10308768164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse