Organization · NPI-2

209 Avenue P Medical,pc

Family Medicine · Brooklyn, NY

NPI number1124334008
StatusActive
Last updated in NPPESJan 21, 2011

Details

NPI
1124334008
Entity type
Organization (NPI-2)
Legal business name
209 Avenue P Medical,pc
Organization subpart
No
Enumeration date
Aug 30, 2010
Last updated
Jan 21, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine135903NYYes

Practice location

209 Avenue P
Brooklyn, NY 11204-4903

Phone 718-259-6666 · Fax 718-259-7000

Mailing address

209 Avenue P
Brooklyn, NY 11204

Phone 718-259-6666 · Fax 718-259-7000

Authorized official

George L Adams
President
7182596666

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