Exclusive Family Medical Care PC
Clinic/Center in Brooklyn, NY. Organization (NPI-2).
NPI number1013085166
StatusActive
Last updated in NPPESJun 17, 2009
Details
- NPI
- 1013085166
- Entity type
- Organization (NPI-2)
- Legal business name
- Exclusive Family Medical Care PC
- Organization subpart
- No
- Enumeration date
- Nov 30, 2006
- Last updated
- Jun 17, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 214845 | NY | Yes |
Practice location
2431 86th StBrooklyn, NY 11214-4448
Phone 718-265-2424 · Fax 718-265-2424
Mailing address
2431 86th StBrooklyn, NY 11214-4448
Phone 718-265-2424 · Fax 718-265-2424
Authorized official
Konstantin Pertsovsky
Medical Director
7183728347
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