YURIY BORTNIK


Address: 172 Brighton 11th St, Brooklyn, NY 11235-5327
Phone: 3472000024

YURIY BORTNIK (NPI# 1992146872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992146872
Entity Type Individual
Full Name YURIY BORTNIK
Credential NP
Practice Address 172 Brighton 11th St
Brooklyn
NY 11235-5327
Mailing Address Po Box 350710
Brooklyn
NY 11235-0710
Practice Telephone 3472000024
Enumeration Date 2013-07-08
Last Update Date 2020-10-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WH0500X Registered Nurse
Specialization: Hemodialysis
635019 NY Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
F402243 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 172 BRIGHTON 11TH ST
City BROOKLYN
State NY
Zip Code 11235-5327

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215271226 Brighton Podiatry PC Podiatrist 172 Brighton 11th St, Brooklyn, NY 11235-5327 2012-11-15
1891312096 Ready Well Psychiatric Np Services Pllc Registered Nurse 172 Brighton 11th St, Brooklyn, NY 11235-5327 2020-07-03

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKLYN
Zip Code 11235

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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