Dignicare Medical Pllc | |
2060 E 61st St Apt 1 Brooklyn NY 11234-5908 | |
(347) 254-6462 | |
(718) 306-5238 |
Full Name | Dignicare Medical Pllc |
---|---|
Speciality | Internal Medicine |
Location | 2060 E 61st St, Brooklyn, New York |
Authorized Official Name and Position | Stephanie Dejesus (MEMBER/OWNER) |
Authorized Official Contact | 3472546462 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dignicare Medical Pllc 2060 E 61st St Apt 1 Brooklyn NY 11234-5908 Ph: (347) 254-6462 | Dignicare Medical Pllc 2060 E 61st St Apt 1 Brooklyn NY 11234-5908 Ph: (347) 254-6462 |
NPI Number | 1144361163 |
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Provider Enumeration Date | 02/11/2007 |
Last Update Date | 08/01/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144361163 | NPI | - | NPPES |
05762 | Other | NY | GHI MEDICARE |
02377035 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 1724301 (New York) | Primary |
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