| Avenue U Medical Care Pc | |
|
2153 E 3rd St Brooklyn NY 11223-4030 | |
| (718) 339-4607 | |
| Not Available |
| Full Name | Avenue U Medical Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2153 E 3rd St, Brooklyn, New York |
| Authorized Official Name and Position | Victor Fariwa (PROVIDER) |
| Authorized Official Contact | 7189349720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avenue U Medical Care Pc 2153 E 3rd St Brooklyn NY 11223-4030 Ph: (718) 339-4607 | Avenue U Medical Care Pc 2153 E 3rd St Brooklyn NY 11223-4030 Ph: (718) 339-4607 |
| NPI Number | 1225440068 |
|---|---|
| Provider Enumeration Date | 05/28/2014 |
| Last Update Date | 09/10/2014 |
| Medicare PECOS PAC ID | 9739309030 |
|---|---|
| Medicare Enrollment ID | O20141009000679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225440068 | NPI | - | NPPES |
| Provider Name | Victor Fariwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023028354 PECOS PAC ID: 8820114648 Enrollment ID: I20110830000014 |
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