Organization · NPI-2

Atlantic Medical PC

Legal Medicine · Brooklyn, NY

NPI number1942421979
StatusActive
Last updated in NPPESDec 21, 2011

Details

NPI
1942421979
Entity type
Organization (NPI-2)
Legal business name
Atlantic Medical PC
Organization subpart
No
Enumeration date
May 1, 2007
Last updated
Dec 21, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
173000000X Legal Medicine197845NYYes

Practice location

745 Ocean Pkwy
Brooklyn, NY 11230-1113

Phone 718-677-9700 · Fax 718-859-5969

Mailing address

745 Ocean Pkwy
Brooklyn, NY 11230-1113

Phone 718-677-9700 · Fax 718-859-5969

Authorized official

Miron Fayngersh
President
7186779700

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