| Boro Park Primary Medical Pllc | |
|
1153 58th St Brooklyn NY 11219-4526 | |
| (718) 431-9870 | |
| Not Available |
| Full Name | Boro Park Primary Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1153 58th St, Brooklyn, New York |
| Authorized Official Name and Position | Stuie Goldwasser (MANAGER) |
| Authorized Official Contact | 7184319870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boro Park Primary Medical Pllc 1153 58th Street Brooklyn NY 11219 Ph: () - | Boro Park Primary Medical Pllc 1153 58th St Brooklyn NY 11219-4526 Ph: (718) 431-9870 |
| NPI Number | 1598945032 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 01/21/2014 |
| Medicare PECOS PAC ID | 3870509292 |
|---|---|
| Medicare Enrollment ID | O20060222000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598945032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Thomas Fuchs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285680496 PECOS PAC ID: 9335181015 Enrollment ID: I20050523001260 |
| Provider Name | Betzalel Rabinowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437531852 PECOS PAC ID: 5395053441 Enrollment ID: I20151009000352 |
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