Brasil & Shinin Physicians Pc | |
33 Medford Ave Suite E Patchogue NY 11772-1225 | |
(631) 207-4200 | |
(631) 207-4200 |
Full Name | Brasil & Shinin Physicians Pc |
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Speciality | Internal Medicine |
Location | 33 Medford Ave, Patchogue, New York |
Authorized Official Name and Position | Nancy Brasil-kolich (PRESIDENT) |
Authorized Official Contact | 6312074200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brasil & Shinin Physicians Pc 33 Medford Avenue Suite E Patchogue NY 11772-1225 Ph: (631) 207-4200 | Brasil & Shinin Physicians Pc 33 Medford Ave Suite E Patchogue NY 11772-1225 Ph: (631) 207-4200 |
NPI Number | 1972783348 |
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Provider Enumeration Date | 11/14/2007 |
Last Update Date | 11/14/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972783348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 238120 (New York) | Secondary |
207R00000X | Internal Medicine | 221648 (New York) | Primary |
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