Provider Demographics
NPI:1437304136
Name:PREFERRED HEALTH PARTNERS
Entity Type:Organization
Organization Name:PREFERRED HEALTH PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:KERNISANT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-422-8030
Mailing Address - Street 1:32 COURT ST
Mailing Address - Street 2:SUITE 1900
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4404
Mailing Address - Country:US
Mailing Address - Phone:718-422-8124
Mailing Address - Fax:718-422-8140
Practice Address - Street 1:233 NOSTRAND AVENUE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205
Practice Address - Country:US
Practice Address - Phone:718-826-5900
Practice Address - Fax:718-826-5906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY335726363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty