Doctor On Wheels Medical PC
General Practice in Brooklyn, NY. Organization (NPI-2).
NPI number1124152129
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1124152129
- Entity type
- Organization (NPI-2)
- Legal business name
- Doctor On Wheels Medical PC
- Organization subpart
- No
- Enumeration date
- Mar 14, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
2005 Ocean AveBrooklyn, NY 11230-7335
Phone 718-787-0279 · Fax 718-787-0270
Mailing address
2005 Ocean AveBrooklyn, NY 11230-7335
Phone 718-787-0279 · Fax 718-787-0270
Authorized official
Yury Zamdborg
Owner
7183758052
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