Avenue U Kings County Medical PLLC
in Brooklyn, NY. Organization (NPI-2).
NPI number1497583553
StatusActive
Last updated in NPPESJul 22, 2024
Details
- NPI
- 1497583553
- Entity type
- Organization (NPI-2)
- Legal business name
- Avenue U Kings County Medical PLLC
- Organization subpart
- No
- Enumeration date
- Jul 22, 2024
- Certification date
- Jul 22, 2024
- Last updated
- Jul 22, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | – | – | Yes |
Practice location
4209 Avenue UBrooklyn, NY 11234-5121
Phone 347-934-9068
Mailing address
4209 Avenue UBrooklyn, NY 11234-5121
Authorized official
Nataliya Luchko
Office Manager
3479349068
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