Provider Demographics
NPI:1265841894
Name:E & G HEATHCARE, N.P. IN FAMILY HEALTH P.L.L.C.
Entity Type:Organization
Organization Name:E & G HEATHCARE, N.P. IN FAMILY HEALTH P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:
Authorized Official - First Name:EFRAT
Authorized Official - Middle Name:
Authorized Official - Last Name:HALEVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-698-6700
Mailing Address - Street 1:149 MERRYMOUNT ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-4844
Mailing Address - Country:US
Mailing Address - Phone:718-698-6700
Mailing Address - Fax:
Practice Address - Street 1:149 MERRYMOUNT ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-4844
Practice Address - Country:US
Practice Address - Phone:718-698-6700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-07
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty