| Life Line Medical Care, Pc | |
|
3048 Brighton 1st St Ground Floor Brooklyn NY 11235-8009 | |
| (917) 703-1725 | |
| Not Available |
| Full Name | Life Line Medical Care, Pc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3048 Brighton 1st St, Brooklyn, New York |
| Authorized Official Name and Position | Ludmila Dashevsky (OWNER) |
| Authorized Official Contact | 9177031725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Line Medical Care, Pc 141 W Broadway Long Beach NY 11561-4047 Ph: () - | Life Line Medical Care, Pc 3048 Brighton 1st St Ground Floor Brooklyn NY 11235-8009 Ph: (917) 703-1725 |
| NPI Number | 1518209063 |
|---|---|
| Provider Enumeration Date | 03/22/2013 |
| Last Update Date | 03/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518209063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 215021 (New York) | Primary |
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