| Brooklyn Care Medical Pc | |
|
1725 E 12th St Suite 201 Brooklyn NY 11229-1028 | |
| (718) 790-0744 | |
| Not Available |
| Full Name | Brooklyn Care Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1725 E 12th St, Brooklyn, New York |
| Authorized Official Name and Position | Mark Azbel (PRESIDENT) |
| Authorized Official Contact | 7187900744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooklyn Care Medical Pc 1725 E 12th St Suite 201 Brooklyn NY 11229-1028 Ph: (718) 790-0744 | Brooklyn Care Medical Pc 1725 E 12th St Suite 201 Brooklyn NY 11229-1028 Ph: (718) 790-0744 |
| NPI Number | 1568668119 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0941350532 |
|---|---|
| Medicare Enrollment ID | O20090610000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568668119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 226140 (New York) | Primary |
| Provider Name | Mark Azbel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306847405 PECOS PAC ID: 3375536030 Enrollment ID: I20040407000769 |
| Provider Name | Lora Y Slabodkina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881646149 PECOS PAC ID: 7012934433 Enrollment ID: I20150709000626 |
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