Organization · NPI-2
A Medical Office, PLLC
Internal Medicine · Brooklyn, NY
NPI number1699963033
StatusActive
Last updated in NPPESJul 26, 2008
Details
- NPI
- 1699963033
- Entity type
- Organization (NPI-2)
- Legal business name
- A Medical Office, PLLC
- Organization subpart
- No
- Enumeration date
- Oct 10, 2007
- Last updated
- Jul 26, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
1811 Quentin Rd#1h
Brooklyn, NY 11229-1343
Phone 718-336-3500
Mailing address
17 Harmon StLong Beach, NY 11561-2707
Phone 718-336-3500
Authorized official
Felix Gorohovsky
Manager
9177143874
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