Brtc Ni Inc | |
6315 83rd St Middle Village NY 11379-1962 | |
(646) 269-1187 | |
Not Available |
Full Name | Brtc Ni Inc |
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Speciality | Family Medicine |
Location | 6315 83rd St, Middle Village, New York |
Authorized Official Name and Position | Michael Christopher Moy (FAMILY PRACTICE) |
Authorized Official Contact | 7182055795 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brtc Ni Inc 6315 83rd St Middle Village NY 11379-1962 Ph: () - | Brtc Ni Inc 6315 83rd St Middle Village NY 11379-1962 Ph: (646) 269-1187 |
NPI Number | 1427681782 |
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Provider Enumeration Date | 02/14/2020 |
Last Update Date | 02/14/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427681782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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