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NPI Verification

National Provider Identifier: 1083921779

1501 Medical PC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

1501 80TH ST STE 1

BROOKLYN, NY 112282533

Phone: 718-837-2660

NPI Enumeration Date

September 2, 2010

NPI Number

1083921779

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
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