| Brooklyn Doc Medical P.c. | |
|
10420 Queens Blvd Ste 1de Forest Hills NY 11375-3629 | |
| (718) 806-1002 | |
| Not Available |
| Full Name | Brooklyn Doc Medical P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 10420 Queens Blvd Ste 1de, Forest Hills, New York |
| Authorized Official Name and Position | Ananthakumar Thillainathan (OWNER/MD) |
| Authorized Official Contact | 5165821948 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooklyn Doc Medical P.c. 10420 Queens Blvd Ste 1de Forest Hills NY 11375-3629 Ph: (718) 897-0900 | Brooklyn Doc Medical P.c. 10420 Queens Blvd Ste 1de Forest Hills NY 11375-3629 Ph: (718) 806-1002 |
| NPI Number | 1598309569 |
|---|---|
| Provider Enumeration Date | 11/03/2019 |
| Last Update Date | 10/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598309569 | NPI | - | NPPES |
| 291751 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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