Medical Care Of Kingsborough PC
in Brooklyn, NY. Organization (NPI-2).
NPI number1982949624
StatusActive
Last updated in NPPESDec 6, 2012
Details
- NPI
- 1982949624
- Entity type
- Organization (NPI-2)
- Legal business name
- Medical Care Of Kingsborough PC
- Organization subpart
- No
- Enumeration date
- Dec 6, 2012
- Last updated
- Dec 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0805X | – | – | Yes | |
| 111N00000X | Chiropractor | – | – | |
| 213EP1101X | Podiatrist, Primary Podiatric Medicine | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 225X00000X | Occupational Therapist | – | – |
Practice location
2297 Coney Island AveBrooklyn, NY 11223-3337
Phone 718-513-6440 · Fax 718-975-2085
Mailing address
2297 Coney Island AveBrooklyn, NY 11223-3337
Phone 718-513-6440 · Fax 718-975-2085
Authorized official
Ewald Antoine
President
7185136440
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