Visavis Health Care Medical Group Of Ny, PLLC
Family Medicine in Brooklyn, NY. Organization (NPI-2).
NPI number1194350066
StatusActive
Last updated in NPPESAug 22, 2023
Details
- NPI
- 1194350066
- Entity type
- Organization (NPI-2)
- Legal business name
- Visavis Health Care Medical Group Of Ny, PLLC
- Organization subpart
- No
- Enumeration date
- Mar 11, 2020
- Certification date
- Aug 22, 2023
- Last updated
- Aug 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
1481 McDonald AveBrooklyn, NY 11230-4667
Phone 929-491-7333
Mailing address
3923 Fort Hamilton ParkwayBrooklyn, NY 11218-1916
Phone 212-734-6621
Authorized official
Yitty Falkowitz
Manager
2127346621
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