| Fradlis Medical Care Pc | |
|
2829 Ocean Pkwy Brooklyn NY 11235-7858 | |
| (718) 891-6500 | |
| Not Available |
| Full Name | Fradlis Medical Care Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2829 Ocean Pkwy, Brooklyn, New York |
| Authorized Official Name and Position | Iosif Frdalis (PRSIDENT) |
| Authorized Official Contact | 7188916500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fradlis Medical Care Pc 606 Michelle Pl North Woodmere NY 11581-3041 Ph: () - | Fradlis Medical Care Pc 2829 Ocean Pkwy Brooklyn NY 11235-7858 Ph: (718) 891-6500 |
| NPI Number | 1083692230 |
|---|---|
| Provider Enumeration Date | 01/06/2006 |
| Last Update Date | 12/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083692230 | NPI | - | NPPES |
| 01880189 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 207428 (New York) | Primary |
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