Organization · NPI-2

Amra Medical , P.C

Legal Medicine · Brooklyn, NY

NPI number1497095822
StatusActive
Last updated in NPPESFeb 21, 2013

Details

NPI
1497095822
Entity type
Organization (NPI-2)
Legal business name
Amra Medical , P.C
Organization subpart
No
Enumeration date
Feb 21, 2013
Last updated
Feb 21, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
173000000X Legal Medicine––Yes

Practice location

284 Avenue X
Brooklyn, NY 11223-5934

Phone 718-645-3405 · Fax 718-645-3404

Mailing address

284 Avenue X
Brooklyn, NY 11223-5934

Phone 718-645-3405 · Fax 718-645-3404

Authorized official

Sergey Petrov
Medical Doctor
7186453405

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