Organization · NPI-2

1771 Utica LLC

Family Medicine · Brooklyn, NY

NPI number1881530285
StatusActive
Last updated in NPPESMay 20, 2026

Details

NPI
1881530285
Entity type
Organization (NPI-2)
Legal business name
1771 Utica LLC
Organization subpart
No
Enumeration date
Apr 27, 2026
Certification date
May 20, 2026
Last updated
May 20, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
207RC0000X Internal Medicine, Cardiovascular Disease––

Practice location

1771 Utica Ave
Brooklyn, NY 11234-2120

Phone 917-933-4333 · Fax 917-933-4330

Mailing address

1771 Utica Ave
Brooklyn, NY 11234-2120

Phone 917-933-4333 · Fax 917-933-4330

Authorized official

Danil Shabatay
President./Ceo
9179334333

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