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NPI 1952057051ActiveOrganization· Preferred Provider Organization· Brooklyn, NY
Preferred Provider Organization in Brooklyn, New York, registered in NPPES in February 2022. The authorized official on file is Darline Etienne, RN, Director.
Overview
| NPI | 1952057051 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 28, 2022 |
| Last updated in NPPES | Feb 28, 2022 |
| Certified by provider | Feb 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | — | — |
| Meals | 174200000X | — | — |
| Local Education Agency (LEA) | 251300000X | — | — |
| Public Health or Welfare | 251K00000X | — | — |
| PACE Provider Organization | 251T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Preferred Provider Organization providers in Brooklyn
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- 1609114602
- 1669816443
- 1780136259
- 1811085343
All 17 Preferred Provider Organization providers in Brooklyn · All Preferred Provider Organization providers in New York