Organization · NPI-2

21st Century Medical PC

Family Medicine · Brooklyn, NY

NPI number1255312930
StatusActive
Last updated in NPPESSep 11, 2008

Details

NPI
1255312930
Entity type
Organization (NPI-2)
Legal business name
21st Century Medical PC
Organization subpart
No
Enumeration date
Nov 9, 2005
Last updated
Sep 11, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine209349NYYes

Practice location

305 Ocean View Ave
Brooklyn, NY 11235-6826

Phone 718-743-3100 · Fax 718-368-9044

Mailing address

305 Ocean View Ave
Brooklyn, NY 11235-6826

Phone 718-743-3100 · Fax 718-368-9044

Authorized official

Bella Aloyts
Medical Director
7187433100

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