| Ideal Medicine Pc | |
|
2519 Avenue U Brooklyn NY 11229-4934 | |
| (718) 743-8900 | |
| Not Available |
| Full Name | Ideal Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2519 Avenue U, Brooklyn, New York |
| Authorized Official Name and Position | Stella Geller (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7185525685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Medicine Pc 2519 Avenue U Brooklyn NY 11229-4934 Ph: (718) 743-8900 | Ideal Medicine Pc 2519 Avenue U Brooklyn NY 11229-4934 Ph: (718) 743-8900 |
| NPI Number | 1043558695 |
|---|---|
| Provider Enumeration Date | 01/16/2013 |
| Last Update Date | 01/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043558695 | NPI | - | NPPES |
| 227347 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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