| Idmed Care Pllc | |
|
142 Joralemon St Ste 9b Brooklyn NY 11201 | |
| (718) 858-1732 | |
| (718) 596-3332 |
| Full Name | Idmed Care Pllc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 142 Joralemon St, Brooklyn, New York |
| Authorized Official Name and Position | Ofelia V Calubiran (OWNER SOLE MEMBER) |
| Authorized Official Contact | 7188581732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idmed Care Pllc Po Box 23424 Brooklyn NY 11202 Ph: (718) 858-1732 | Idmed Care Pllc 142 Joralemon St Ste 9b Brooklyn NY 11201 Ph: (718) 858-1732 |
| NPI Number | 1518174267 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518174267 | NPI | - | NPPES |
| 0162374 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 175306 (New York) | Primary |
| 207RI0200X | Internal Medicine - Infectious Disease | 175306 (New York) | Primary |
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