Provider Demographics
NPI:1659637197
Name:EPAPHRAS, MARYROSE KANAGA (NP)
Entity Type:Individual
Prefix:MRS
First Name:MARYROSE
Middle Name:KANAGA
Last Name:EPAPHRAS
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Gender:F
Credentials:NP
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Mailing Address - Street 1:360A 9TH STREET
Mailing Address - Street 2:LALIT PATEL PHYSICIAN PC
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215
Mailing Address - Country:US
Mailing Address - Phone:718-499-6000
Mailing Address - Fax:718-499-6004
Practice Address - Street 1:360-A 9TH STREET
Practice Address - Street 2:LALIT PATEL PHYSICIAN PC
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215
Practice Address - Country:US
Practice Address - Phone:718-499-6000
Practice Address - Fax:718-499-6004
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYF336280-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily