209 AVENUE P MEDICAL,PC

NPI 1124334008 Active Family Medicine

Quick Facts

NPI Number

1124334008

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2010-08-30

Last Updated (NPPES)

2011-01-21

Primary Specialty / Taxonomy

Taxonomy	Family Medicine
Taxonomy Code	`207Q00000X`
License	135903 NY

Practice Address

209 AVENUE P
BROOKLYN, NY 112044903

Phone: 718-259-6666

Fax: 718-259-7000

Mailing Address

209 AVENUE P
BROOKLYN, NY 11204

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